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Title	Asymptomatic bilateral choroidal metastases from endobronchial carcinoid.
Abstract Nr.	P124

Purpose	To describe a patient with bilateral multifocal choroidal metastases 6 years after left pneumectomy for an endobronchial carcinoid.
Methods	A 60-year old woman who presented with photopsias in the left eye underwent an extensive ophthalmological examination, including fluorescein angiography, OCT and ultrasound.
Results	Best-corrected visual acuity was 10/10 in both eyes. Slit-lamp examination was unremarkable. Fundoscopy revealed a small retinal tear in the left eye, for which she received laser treatment. In addition, choroidal masses were detected in both eyes. Ultrasound of these three distinct lesions showed moderate internal reflectivity. Based on the medical history of a pneumectomy in 2007 for a pulmonary carcinoid and elevated chromogranin A blood levels, we concluded that these choroidal lesions are most likely metastases from the resected endobronchial carcinoid. Subsequently, a Gallium-68 scan proved other spinal cord metastases and mediastinal lymph node invasion. Systemic treatment with somatostatin was started. Response to treatment is evaluated based on the level of plasma chromogranin A and ophthalmological follow-up.
Conclusion	Endobronchial carcinoid tumors can metastase to the choroid. Because of the indolent nature of carcinoids, follow-up of patients, after resection of the primary tumour, is recommended for at least 20 years.

Authors 1

Last name	DE BRUYN
Initials	D
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent

Authors 2

Last name	LAMONT
Initials	J
Department	Dpt Pneumology, M.M. Hosp
City	Ghent

Authors 3

Last name	GEENS
Initials	S
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent

Authors 4

Last name	JANSSENS
Initials	B
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent

Authors 5

Last name	PLATTEAU
Initials	E
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent

Authors 6

Last name	DE ZAEYTIJD
Initials	J
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent

Authors 7

Last name	VAN BELLE
Initials	S
Department	Dpt Oncology, Ghent Univ Hosp
City	Ghent

Authors 8

Last name	LEROY
Initials	BP
Department	Dpt Ophthalmology & Ctr for Med Genet, Ghent Univ Hosp
City	Ghent

Authors 9

Last name	HOORNAERT
Initials	KP
Department	Dpt Ophthalmology, Ghent Univ Hosp
City	Ghent