Meridional lenticular astigmatism associated with bilateral concurrent uveal metastases in renal cell carcinoma

Abstract

Purpose

To demonstrate a case illustrating meridional lenticular astigmatism as a result of renal cell carcinoma uveal metastases.

Methods

Case report with images.

Results

Clinical findings and diagnostic testing of a patient with acquired meridional lenticular astigmatism are described. The refraction revealed best-corrected visual acuity of 20/20–1 OD (−2.50 + 0.25 × 090) and 20/50 OS (−8.25 + 3.25 × 075). Bilateral concurrent renal cell carcinoma metastases to the choroid and ciliary body are demonstrated by utilizing ultrasonography, ultrawidefield fluorescein angiography, and unique spectral-domain optical coherence tomography.

Conclusions

Metastatic disease should be included in the differential of acquired astigmatism. Spectral-domain optical coherence tomography, ultrawidefield fluorescein angiography, and ultrasonography have roles in delineating choroidal metastases.

Keywords:

• astigmatism
• metastasis
• optical coherence tomography
• renal cell carcinoma

Disclosure

None of the authors has a conflict of interest with the submission. No financial support was received for this submission.