When Vision Blurs: A Deeper Look

A 60-year-old woman with a history of Breast Cancer presents with blurry vision and eye movement issues. Explore this ophthalmologic emergency.

Orbital metastasis


A 60-year-old woman presented to the emergency department with a 2-month history of blurry vision in her left eye. Her medical history was notable for breast cancer treated 3 years earlier with lumpectomy, axillary-node dissection, radiation, and hormonal therapy. Physical exam on upward gaze is demonstrated. What is the diagnosis?

What is the most likely diagnosis?

Orbital metastasis
Unilateral Grave’s ophthalmopathy
Partial cranial nerve 3 palsy
Orbital cellulitis
Idiopathic orbital inflammatory disease

Breast Cancer, Oncology, Ophthalmoplegia, Orbital metastasis, Proptosis

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