MALIGNANT DISEASE METASTATIC TO THE EYE

Malignant disease metastatic to the eye is a common entity afflicting hundred patients each year Breast carcinoma is the most common carcino ma responsible for ocular metastases with an estimated range probably closer to 30% and prevalence of 11.000 women by year in United-States. Breast carcinoma is followed by lung cancer and adenocarcinoma of an unknown primary. The diagnosis should be suspected in patient with his tory of carcinoma and a decreased visual acuity or any other visual sy mptom. The most useful diagnostic techniques include direct ophtalmosc opy, ultrasonography, computed tomography and magnetic resonance imagi ng. The cornerstone of treatment of ocular metastases remains radiatio n therapy. The overall response rates of earlier diagnosis, according to measurement of visual acuity, may be ranged from 72 to 94%. Early d iagnosis and treatment of those lesions are a primary concern to maxim aze the quality of life until death of patients with metastatic diseas e. We report four cases of women with breast cancer metastatic to the eye.