Abstract

A 55 YRS OLD FEMALE PRESENTED WITH PAIN, PROPTOSIS AND LOSS OF VISION IN LEFT EYE FOR LAST ONE YEAR.ON EXAMINATION VISUAL ACUITY PERCEPTION OF LIGHT POSITIVE, LOSS OF COLOUR VISON,IOP 28mmHg, EXPOSURE KERATOPATHY, OCULAR MOTILITY RESTRICTION.ON CT AND MRI ORBIT WITH BRAIN SHOWED SOLID MASS OCCUPYING POSTERIOR AND LATERAL WALL OF ORBIT ALONG WITH SPACE OCCUPYING LESION IN TEMPORAL LOBE CT AND MRI THOREX SHOWED NEOPLASTIC INFILTRATION IN LUNGS AND LIVER.HISTOPATHOLOGICAL EXAMINATION CAME OUT TO BE SMALL CELL CARCINOMA LUNG.
PATIENT WAS TREATED WITH IOP LOWERING DRUGS BOTH TOPICAL AND ORAL,MEDICAL DECOMPRESSION WAS ATTEMPTED MANNITOL 20% AND INJECTION DEXAMETHASONE SIX CYCLES OF COMBINED CHEMOTHERAPY.
PATIENTS SYMPTOMS RESOLVED FROM BEFORE AND SHE IS ON REGULAR FOLLOW UP