Embyronal carcinoma of testis metastatic to ciliary body presenting as spontaneous hyphema and painful secondary glaucoma

Purpose: To report a rare presentation of metastatic testicular cancer to the uvea. Methods: Observational case report. Results: A 24-year-old man without known systemic illness presented with acute total loss of vision and severe pain in his left eye and associated nausea, anorexia, and dehydration. He was found to have a total hyphema, high intraocular pressure, and a ciliary body mass (by computed tomography scan and ultrasound biomicroscopy). The affected eye was enucleated, and pathologic study showed a hemorrhagic poorly differentiated neoplasm of the ciliary body. Subsequent patient evaluation revealed a primary testicular embryonal carcinoma with widespread metastasis. Conclusion: This case represents the first report of a metastasis from a testicular carcinoma to the ciliary body and the first tumor of this type to be associated with spontaneous hyphema.