Cancer associated retinopathy with periphlebitis and bilateral vitreous hemorrhage.

M Chéour, S Agrebi, A Hijazi
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Abstract

Introduction: Cancer associated retinopathy (CAR) is an uncommon paraneoplastic syndrome associated with epithelial neoplasm. Ocular symptoms of this syndrome are varied.

Case report: A 40-year-old man with an existing smoking history noticed a bilateral visual loss.Fundus examination showed a bilateral vitreous hemorrhage.In the left eye, there were narrowed retinal arterioles and peripapillary neovessels. An X-ray chest revealed a lung lesion which on biopsy proved to be a bronchial squamous cell carcinoma. After conducting several explorations,we have diagnosed CAR.

Conclusion: Vitreous hemorrhage is one of the symptoms of CAR. Thus, systems review, searching for an extraocular cancer, X-ray chest and ERG are recommended in this case.

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癌症相关视网膜病变伴外周炎及双侧玻璃体出血。
癌症相关性视网膜病变(CAR)是一种罕见的与上皮性肿瘤相关的副肿瘤综合征。该综合征的眼部症状多种多样。病例报告:40岁男性,既往有吸烟史,双侧视力减退。眼底检查显示双侧玻璃体出血。左眼视网膜小动脉狭窄,乳头周围有新生血管。胸部x光片显示肺病变,活检证实为支气管鳞状细胞癌。经过多次探索,我们诊断出CAR。结论:玻璃体出血是CAR的主要症状之一。因此,在这种情况下,建议进行系统检查,寻找眼外癌,胸部x光片和ERG。
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