[Bilateral neurotrophic keratitis secondary to encephalic trunk metastasis]. / Queratopatía neurotrófica bilateral secundaria a metástasis en tronco del encéfalo.

ABSTRACT

CASE REPORT We report the case of a 69-year-old man with a lung carcinoma history. The patient showed signs of conjuntival hyperemia, painless bilateral corneal edema, persistent epitelial defects and reported to have decreasing visual acuity for a week. The clinical examination revealed a bilateral neurotrophyc keratitis with both a decreased frequency of blinking and a bilateral atrophy mandibular muscles. Local ocular patology was excluded. Systemic exploration showed a meningeal neoplasic infiltration and metastasis on the initial trigeminal nerve stretch. In our knowledge, this is the first case reported in the literature. DISCUSSION: Ophthalmic signs should be considered in the diagnosis of systemic pathology.