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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Optic nerve metastasis caused by lung adenocarcinoma
Journal Information
Vol. 92. Issue 11.
Pages 552-554 (November 2017)
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Vol. 92. Issue 11.
Pages 552-554 (November 2017)
Short communication
Optic nerve metastasis caused by lung adenocarcinoma
Metástasis de nervio óptico secundaria a adenocarcinoma de pulmón
F. Hernández Pardines
Corresponding author

Corresponding author.
, J.C. Molina Martín, L. Fernández Montalvo, A. Juárez Marroquí
Hospital Universitario San Juan de Alicante, San Juan, Alicante, Spain
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Isolated optic nerve metastases are extremely uncommon. Many cases are associated with involvement from locations such as the choroid, orbit, or central nervous system. Optic nerve metastases often have their origin in primary tumors of the breast, lung, and stomach, in adults.

Case report

The case is presented of a 57 year-old woman with a diagnosis of lung adenocarcinoma. Her first complaint was a sudden loss of visual acuity in her right eye. The diagnosis of optic nerve metastases was made based on her history, and the results of the MRI scan.


Isolated optic nerve metastases are an uncommon condition, but should be suspected in any patient with a history of oncology who has deteriorated visual acuity.

Lung cancer
Optic nerve metastasis
Roth spot

Las metástasis del nervio óptico aisladas son extremadamente infrecuentes. Muchos casos se asocian con afectación de otras localizaciones como la coroides, órbita o el sistema nervioso central.

Caso clínico

Mujer de 57 años de edad con el diagnóstico de adenocarcinoma de pulmón con pérdida brusca de la visión del ojo derecho. Ante los hallazgos encontrados y los resultados de la RMN se realiza el diagnóstico de metástasis del nervio óptico.


Las metástasis de nervio óptico aisladas son un cuadro infrecuente, pero que tendremos que sospechar en todo paciente con antecedentes oncológicos que presenten un deterioro de la agudeza visual.

Palabras clave:
Cáncer de pulmón
Metástasis de nervio óptico
Manchas de Roth


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