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Choriocarcinoma is a rare trophoblastic tumour.1,2 We describe a case of metastatic choriocarcinoma to the cavernous sinus causing complete ophthalmoplegia and ptosis, following an uneventful pregnancy.
A 28 year old woman was referred to the oculoplastic and orbital service with a 1 week history of right sided ptosis and 6 weeks of right facial pain. Six weeks earlier she underwent evacuation of retained products of conception, following spontaneous vaginal delivery. Facial pain immediately ensued and her dentist extracted a right wisdom tooth, but the pain continued to worsen. The visual acuity was 6/9 right eye, 6/5 left eye, with complete right sided ptosis, total ophthalmoplegia, and a dilated unreactive pupil (fig 1A, B). Reduced …