A rare case of choroidal secondaries in a known case of cervical cancer

Cervical cancer is the most common cancer among females in India. Cervical cancer usually spreads by local extension and through the lymphatic drainage to the lymph nodes. Choroidal metastasis is a very rare kind of hematogenous metastasis seen in cervical cancer. We report a case of a 50-year-old woman who presented with unilateral right sided progressive visual impairment since 40 days. Fundoscopic examination revealed presence of multiple choroidal masses and posterior exudative retinal detachment, suspicious of choroidal metastasis. Metastatic work up with CT scan of brain, thorax and abdominopelvic region was unremarkable. Unilateral choroidal metastasis arising from a squamous cell carcinoma of the cervix is extremely rare. Although uncommon, choroidal metastases may be the presenting feature of primary cervical malignancy. Furthermore, cervical malignancy must be ruled out in women who present with orbital or choroidal metastasis arising from unknown primary.