Orbital carcinoid metastasis: diverse presentations and value of indium-octreotide imaging.

PURPOSE: To report two cases of orbital carcinoid metastasis (OCM) with diverse presentations and the role of Indium-Octreotide scan in management of these patients.

METHODS

Clinical, histological and radiological findings and management of the two patients are described. Results are presented.

CONCLUSIONS

We wish to highlight the diversity of presentations in orbital carcinoid. One patient presented with headache, while the other presented with recurrent transient ptosis. To the best of our knowledge, there have been no previous reports of OCM presenting as transient ptosis. The value of Indium-Octreotide scan in detecting the true extent of systemic disease and reducing the need for biopsy in carcinoid tumour is discussed.