CHOROIDAL METASTASIS FROM A BREAST CARCINOMA. DIAGNOSIS AND FOLLOW-UP WITH OPTICAL COHERENCE TOMOGRAPHY AND FLUORESCEIN ANGIOGRAPHY AND AUTOFLUORESCENCE WITH HRA-II (HEIDELBERG RETINA ANGIOGRAPH) METÁSTASIS COROIDEAS DE CARCINOMA DE MAMA. DIAGNÓSTICO Y SEGUIMIENTO MEDIANTE TOMOGRAFÍA DE COHERENCIA ÓPTICA Y ANGIOFLUORESCEINGRAFÍA Y AUTOFLUORESCENCIA CON HRA-II (HEIDELBERG RETINA ANGIOGRAPH)

Clinical case: A 69-year-old woman developed choroidal metastasis from a breast carcinoma 2 years after the initial diagnosis, surgery and chemotherapy. After treatment with palliative chemotherapy and external radiotherapy, we used fluorescein angiography (FA) and optical coherence tomography (OCT) to evaluate the resolution of the serous retinal detachment, as well as a later relapse in the optic nerve. Discussion: OCT is useful in the follow-up of choroidal metastasis after treatment. However, OCT imaging is limited by the initial choroidal location of metastasis. The autofluorescence can detect exudative tumoral activity even without obvious changes in OCT or FA (Arch Soc Esp Oftalmol 2009; 84: 267-270).