A 51-year-old man complaining of cough, hemoptysis, and decreased visual ac
uity was admitted to our hospital. Chest radiography revealed a left hilar
mass and pleural effusion in the left hemithorax. In his ophtalmological ex
amination, then was total retinal detachment in the left eye. Ultrasonograp
hic examination and orbital magnetic resonance imaging (MRI) were reported
as choroidal metastasis. A computed tomography (CT) confirmed the mass in t
he left hilum and multiple mass lesions consistent with metastasis in the l
iver and in the body of 12th thoracic vertebra. Bronchoscopic biopsies reve
aled large cell carcinoma with basaloid features. He died after 4 months wi
th rapid progression of the disease in spite of combined chemotherapy. Alth
ough primary lung cancer with concurrent eye metastasis is an uncommon enti
ty, it should always be kept in mind for patients with ocular symptoms. (C)
2001 Elsevier Science Ireland Ltd. All rights reserved.