本文报导一例非常罕见的甲状腺癌眼内转移。一黑人妇女,57岁,1969年诊断为甲状腺癌,当时做肿瘤全切除,7年后病人右眼色觉障碍。当时视力右20/60、左20/30,眼球运动及瞳孔反应正常,无眼球突出,眼眶触诊未发现异常。右眼底自视乳头下缘至下方赤道部可见一实质性粉红色病变。视野上方呈凹陷缺损伴有边缘陡峭,并延伸展至中心注视点。超声波A—B扫描显示眼球后极部包括眼球后壁有一高起的实质性病变,未侵及眼眶。荧光血管造影显示邻接的两个脉络膜病变区荧光素广泛渗漏。双眼眶部I~(131)扫描 This article reports a very rare case of intraocular metastasis of thyroid cancer. A black woman, 57 years old, was diagnosed with thyroid cancer in 1969, then had a total tumor resection and his right eye was visually impaired seven years later. At that time, visual acuity 20/60, left 20/30, eye movement and pupil response was normal, no eyeballs prominent, orbital palpation found no abnormalities. The right fundus from the lower edge of the optic disc to the lower equator visible a substantial pink lesions. Depression at the top of the defect with a steep edge, and extended to the center of the fixation point. Ultrasound A-B scan showed that the posterior pole of the eye, including the posterior wall of the eye has a high rise in the substantive lesions, did not invade the orbit. Fluorescent angiography showed extensive leakage of fluorescein in two adjacent choroidal lesions. Bilateral orbital I ~ (131) scan