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Year : 2016  |  Volume : 64  |  Issue : 3  |  Page : 248-250

Paraneoplastic retinopathy associated with occult bladder cancer

1 Department of Ophthalmology, M N Eye Hospital, Chennai, Tamil Nadu, India
2 Department of Ophthalmology, Aalborg University Hospital, Aalborg, Denmark
3 Department of Nuclear Medicine, Aalborg University Hospital, Aalborg; Department of Diagnostic Imaging, North Zealand Hospital, Hillerød, Denmark

Correspondence Address:
Dr. M Nivean
Department of Ophthalmology, M N Eye Hospital, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.181744

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The aim was to report the first case of cancer-associated retinopathy (CAR) presenting before bladder cancer diagnosis. A 71-year-old woman with a history of bilateral vision loss underwent subsequent complete ophthalmic examination include a fluorescein angiography, full-field electroretinogram (ERG), serology including serum antibodies for CAR, and positron emission tomography-computed tomography (PET-CT) scan. The patient was diagnosed with bladder carcinoma revealed by PET-CT. Timely recognition of this entity may be crucial for an increased patient survival thus adult onset progressive photoreceptor dysfunction, confirmed by ERG, should alert to a possible remote effect of known or occult malignancy. In the latter, PET-CT may be exploited as a powerful diagnostic tool.

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