{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:39:04Z","timestamp":1777952344852,"version":"3.51.4"},"reference-count":21,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"unspecified","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,4,9]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>This study presents a case and literature review of blurred vision as the first symptom of pancreatic cancer.<\/jats:p>\n                  <jats:p>A woman in her 60s was referred to our clinic because of visual impairment in her right eye. Ophthalmoscopic examination revealed a slightly elevated lesion in the macula. Primary tumour screening found a malignant mass in the cauda of the pancreas.<\/jats:p>\n                  <jats:p>\n                    According to Shields\n                    <jats:italic>et al<\/jats:italic>\n                    , pancreatic cancer with uveal metastasis has one of the least favourable survival rates. Our patient survived 20\u2009months after the appearance of ophthalmic symptoms and had a good quality of life for a relatively long time. After reviewing all published data on intraocular metastases of pancreatic cancer, it becomes evident that the detection of the intraocular manifestation precedes the detection of the primary in half of the cases.\n                  <\/jats:p>\n                  <jats:p>Apparently, in fast-growing carcinomas, the symptomatology of the metastatic manifestation can precede the detection of the primary tumour.<\/jats:p>","DOI":"10.1136\/bcr-2025-267417","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:35:16Z","timestamp":1777898116000},"page":"e267417","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Blurred vision as the first symptom of pancreatic cancer"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1390-0548","authenticated-orcid":false,"given":"Dorottya","family":"Pasztor","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen, Debrecen, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1342-8858","authenticated-orcid":false,"given":"Eszter","family":"Z\u00f6ld","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen, Debrecen, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9848-547X","authenticated-orcid":false,"given":"\u00c9va","family":"Szekanecz","sequence":"additional","affiliation":[{"name":"Department of Oncology, University of Debrecen, Debrecen, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8855-8272","authenticated-orcid":false,"given":"Sarolta","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Debrecen, Debrecen, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos E","family":"Bechrakis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Duisburg-Essen University Hospital Essen, Essen, NRW, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7951-6004","authenticated-orcid":false,"given":"Eva","family":"Suranyi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University of Debrecen, Debrecen, Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"2026050405351078000_19.5.e267417.1","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1007\/s00347-002-0768-9","article-title":"Clinical characteristics of choroidal 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