Purpose: To describe a patient with choroidal metastasis from renal cell carcinoma that spontaneously regressed after nephrectomy. Design: Interventional case report. Methods: A 48-year-old Hispanic woman presented with reduced vision in the left eye attributable to an elevated choroidal lesion and associated exudative retinal detachment. Oncology workup revealed a left kidney renal cell carcinoma with pulmonary metastases. The patient underwent primary nephrectomy, without specific treatment of choroidal or pulmonary metastases. Results: The metastatic choroidal lesion regressed and the retinal detachment completely resolved, as evidenced by fundus photographs and ultrasonography. Conclusion: Choroidal metastasis from renal cell carcinoma may spontaneously regress after removal of the primary tumor.
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