Choroidal metastasis is uncommon and usually identified in a relatively advanced cancer status. The median survival after diagnosing choroid metastasis in lung cancer patients was only 1.9 months. Once failed to systemic treatment, there was no effective local treatment for saving visual acuity. The off-label use of intravitreal bevacizumab was popular in treating VEGF-mediated chorioretinal diseases worldwide. We here demonstrate a dramatic and durable response to intravitreal bevacizumab. Unlike the previous similar reports, our patient had failed both first- and second-line therapies.

译文

:脉络膜转移并不常见,通常在相对晚期的癌症状态下发现。诊断肺癌患者脉络膜转移后的中位生存期仅为1.9个月。一旦全身治疗失败,就没有有效的局部治疗来挽救视力。玻璃体内贝伐单抗的标签外使用广泛用于治疗VEGF介导的脉络膜视网膜疾病。我们在这里展示了对玻璃体内贝伐单抗的戏剧性和持久性反应。与之前的类似报道不同,我们的患者在一线和二线治疗均失败。

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