A CASE OF PARANEOPLASTIC RETINOPATHY

A 62-year-old male had undergone lung lobectomy for adenocarcinoma whi ch was discovered after visual loss from paraneoplastic retinopathy. H e had photopsia, decreased visual acuity, ring scotoma, extremely redu ced electroretinogram and narrowing of retinal artery. Fluorescein ang iography revealed progressive diminution of peripheral retinal blood f low, slow perfusion and staining of venules. The surgical removal of t he tumor resulted in slight recovery of visual acuity and decrease of photopsia and photophobia, which recurred after 8 months. He has been under steroid therapy to prevent the progression of the disease for 10 months.