Abstract
We report two cases of recurrent breast cancer with ophthalmic metastases manifesting as visual loss. Case 1 : A 64-year-old woman presented to us with loss of vision on the right side. She had undergone bilateral breast-conserving surgery for bilateral breast cancer 11 years previously. Based on the examination findings, she was diagnosed as having right choroidal metastasis from breast cancer. Case 2 : A 55-year-old woman developed rapidly progressive visual loss on the right side and central scotoma. She had undergone right mastectomy for right breast cancer 5 years previously. Based on the examination findings, she was diagnosed as having right orbital metastasis with multiple bone, lung, and liver metastases. Both patients received radiotherapy for urgent local management of the ocular metastatic disease, in addition to systemic therapy, which was effective for preventing visual loss and improving the vision. Recurrent breast cancer with ophthalmic metastasis is rare. Early diagnosis and prompt and adequate treatment of this condition are essential.
