Abstract

CORREA LEMOS, María Eugenia et al. The secret revealed by the eyes. Rev. argent. reumatolg. [online]. 2022, vol.33, n.4, pp.235-243. ISSN 0327-4411.  http://dx.doi.org/10.47196/rar.v33i4.699.

The choroid is the ocular tissue most commonly affected by metastatic disease due to its abundant vascularization and is sometimes the first manifestation (44-70% depending on the series) of lung cancer in men or breast cancer in women (3%). Abrupt-onset ocular symptoms in young patients and signs on ophthalmological examination such as thickening of the posterior wall, "lumpy-bumpy surface", among others, are indicative. Granulomatous anterior uveitis, bilateral intermediate uveitis, bilateral panuveitis or granulomatous lesions at the choroidal or optic nerve level are considered indicative of sarcoidosis in the presence of a compatible radiological picture. These may precede systemic signs in 30% of cases. We present 3 patients with ophthalmological signs and symptoms that preceded the diagnosis of non-infectious systemic diseases.

Keywords : eye; uveitis; uveal metastasis; ocular sarcoidosis; first manifestation.

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