Murthy, RameshGupta, AmitHegde, SunayanaHonavar, Santosh G2012-01-022012-01-022011-09Murthy Ramesh, Gupta Amit, Hegde Sunayana, Honavar Santosh G. Bilateral multiple extraocular muscle metastasis from breast carcinoma. Indian Journal of Ophthalmology. 2011 Sept; 59(5): 381-382.http://imsear.searo.who.int/handle/123456789/136210We report a rare presentation of an initially misdiagnosed case of a pseudotumor, which on histopathology was diagnosed as bilateral breast metastases of lobular carcinoma involving multiple extraocular muscles. A 61-year-old lady presented with external ophthalmoplegia and diplopia. Incisional biopsy was performed using a lid crease approach and the patient received radiotherapy and hormonal therapy. Following prolonged hormonal therapy, complete remission was achieved, with improvement in ocular motility and resolution of diplopia, about 18 months after the initial presentation. Multiple extraocular muscle involvement by breast carcinoma metastasis is very rare and should be considered in the differential diagnosis, especially in patients with a prior history of breast carcinoma.enBilateralbreast metastasisextraocular muscleBiopsyBreast Neoplasms --pathologyBreast Neoplasms --therapyCarcinoma, Lobular --diagnosisCarcinoma, Lobular --secondaryCarcinoma, Lobular --therapyCombined Modality TherapyDiagnosis, DifferentialEye Neoplasms --diagnosisEye Neoplasms --secondaryEye Neoplasms --therapyFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMiddle AgedMuscle Neoplasms --diagnosisMuscle Neoplasms --secondaryMuscle Neoplasms --therapyNeoplasm StagingOculomotor MusclesTime FactorsArticle