TY - JOUR T1 - Somatostatin scan positive gastrinoma ocular metastasis JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 1088 LP - 1088 DO - 10.1136/bjo.83.9.1088h VL - 83 IS - 9 AU - KEIR E LEWIS AU - PAUL B ROGERS AU - JOHN HUNGERFORD AU - KEITH E BRITTON AU - P NICHOLAS PLOWMAN Y1 - 1999/09/01 UR - http://bjo.bmj.com/content/83/9/1088.12.abstract N2 - Editor,—Symptomatic ocular metastases are uncommon despite the 4% prevalence in patients dying of all types of malignancy in postmortem series.1 We report a case of ocular metastasis from a gastrinoma, which was part of the Wermer’s syndrome (multiple endocrine neoplasia (MEN) type 1), diagnosed by indium labelled octreotide scanning. CASE REPORT A 57 year old man presented with a 1 week history of blurring in his peripheral vision in his right eye and severe loss of visual acuity, worse early morning. He had been diagnosed with MEN type 1, 8 years previously after two perforated jejunal ulcers (1978, 1990) led to a diagnosis of Zollinger–Ellison syndrome, and a hyperplastic parathyroid gland had been removed for hypercalcaemia (1990). His mother had MEN type 1. Ophthalmic examination revealed 6/12 acuity in the … ER -