Purpose:

To report the clinical case of a 26-year-old patient, who presented with unilateral vision loss, associated with intense photophobia and headache as the first manifestation of choroidal metastases secondary to pancreatic adenocarcinoma.

Case report:

Through a multidisciplinary approach, ophthalmological and oncological ancillary studies and the performance of a liver biopsy, a diagnosis of systemic and choroidal metastases secondary to pancreatic adenocarcinoma was made.

Conclusions:

This is the first documented case of a metastatic pancreatic adenocarcinoma presenting with unilateral vision loss in Mexico.

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