Purpose: To report the association of sectorial choroidal ischemia with ipsilateral tumor of the lacrimal gland.
Methods: Case report. In a 62-year-old man, a complete ophthalmologic examination, including fluorescein angiography and computed tomographic scans of the orbit, was performed. The patient underwent an en bloc excisional biopsy of the tumor.
Results: Fluorescein angiography of the left eye showed extensive sectorial choroidal ischemia superotemporal to the optic disk with macular involvement and associated chorioretinal folds. The patient was found to have a benign mixed tumor of the left lacrimal gland.
Conclusion: The tumor of the lacrimal gland may have compressed choroidal vessels and short posterior ciliary arteries with subsequent sectorial choroidal ischemia.