Orbital Metastasis from Prostatic Carcinoma Causing Proptosis: A Changing Picture

Introduction: Bone and lymph nodes are the usual sites of metastases for prostate cancer. Its ocular cavity metastases are still quite uncommon.Case Report: A patient with periorbital pain and right eye proptosis presented acutely, accompanied by weight loss and generalized pain. His past medical history showed signs consistent with benign prostatic hypertrophy. Nevertheless, a rectal examination revealed irregular prostate tissue, and the level of prostate-specific antigen was significantly elevated and was 1990 ng/dl. Hence, a metastatic prostate cancer was preliminary suspected. Hence, a metastatic cancer prostate was preliminary suspected. The biopsy subsequently confirmed the diagnosis of metastatic adenocarcinoma. The orbital metastases’ manifestations in prostate cancer closely resembles that of other orbital metastases. Diagnosis is straightforward in the presence of a history of a primary tumor. Proptosis, diplopia, reduced vision, and restricted eye movements are some of the symptoms that are now present.Conclusion: This case study addresses the occurrence, clinical manifestation, and investigation of common malignancies like prostatic carcinoma with an unusual presentation.