Advanced Ethmoid Sinus Adenocarcinoma Presenting as Temporary Exudative Retinal Detachment
A 70-year-old Caucasian man was referred with a 2-week history of reduced vision in the right eye. He had no past ocular or medical history and reported no systemic or neurologic symptoms. On examination, corrected visual acuity was 1/10 in the right eye and 20/20 in the left eye. Ocular motility and the anterior segment examination were normal. There was no proptosis. Intraocular pressures were 14 mm Hg in the right eye and 12 mm Hg in the left eye. The mode B ocular ultrasound detected a localized ERD involving temporal superior (fig. ). Examination of the posterior segment of the left eye was unremarkable.\nTwo weeks after presentation, the patient reported mild pain, and no vision in the right eye. On examination, visual acuity was no light perception in the right eye and 20/20 in the left eye. A right relative afferent pupillary defect and an external deviation of the right globe were noted (fig. ). The ERD had completely resolved (fig. ), and mottling of the retinal pigment epithelium was evident. Computed tomographic scan of the brain and orbits demonstrated a space-occupying lesion in the right ethmoid (fig. ). An excisional biopsy of the ethmoid lesion revealed an adenocarcinoma (fig. ). After stereotactic radiotherapy and chemotherapy, tumour recurrence occurred during the 10 months of follow-up. The patient died 2 months later.