JUXTAPAPILLARY CHOROIDAL METASTASIS OF BREAST CARCINOMA: A CASE REPORT

Abstract

Introduction: Choroidal metastases are the most common intraocular malignant tumors and usually occur in the setting of advanced systemic malignancy. Breast carcinoma represents the leading primary tumor in women, whereas juxtapapillary involvement remains rare and poses particular diagnostic and therapeutic challenges due to its proximity to the optic nerve head. Case presentation: We report the case of a 52-year-old woman with a history of breast carcinoma who presented with decreased visual acuity in the left eye. Fundus examination revealed a yellowish, amelanotic juxtapapillary choroidal lesion extending toward the posterior pole. Multimodal imaging, including fundus photography, fundus autofluorescence, fluorescein angiography, optical coherence tomography, and B-scan ultrasonography, supported the diagnosis of choroidal metastasis. Following multidisciplinary evaluation, external beam radiotherapy was initiated. Conclusion: Juxtapapillary choroidal metastasis secondary to breast carcinoma is an uncommon entity that may severely compromise visual function. Early diagnosis using multimodal imaging and coordinated multidisciplinary management are essential to optimize visual outcomes and preserve residual vision.