PURPOSE: To report a patient who was initially examined with optic tra
ct syndrome caused by a focal metastasis to the lateral geniculate bod
y and optic tract. METHOD: Case report. RESULTS: A 44-year-old woman w
ith metastatic breast cancer was initially examined with normal centra
l visual acuity, afferent pupillary defect, homonymous hemianopia, and
optic atrophy. CONCLUSION: This case demonstrates that an isolated op
tic tract syndrome may occur as a result of metastatic lesions to the
lateral geniculate body and optic tract.