Metastatic Choroidal Lesion:  61-year-old male presents with
pain and blurry vision OD  Avinash Tantri, MD, Nasreen A. Syed,
MD and Thomas A. Weingeist, MD, PhD  March 9, 2005  Chief
Complaint: 61-year-old male presents to an outside hospital with
eye pain and blurry vision, OD.  History of Presenting Illness:
This patient initially noted blurry vision 6 weeks prior to this
presentation. Pain had been steadily increasing since that time,
for which the patient was referred to a local ophthalmologist.
Locally, his vision was 20/80 and the physician noted
inferotemporal choroidal infiltrate and exudative retinal
detachment (RD). Echography of the eye was performed (B-scan)
and mild choroidal thickening was observed.  Metastatic work up
was performed due to the patient's history of lung cancer (see
below). MRI of the head and orbits was performed at the outside
facility and was negative for mass or infection. Laboratory work
up and exam was otherwise negative. Following this evaluation,
photocoagulation was appli