Purpose: To describe a case of retinal and optic nerve metastases masquerading as acute retinal necrosis secondary to primary squamous cell carcinoma of the lung. Observations: A 66-year-old male with a history of Stage IV lung cancer. actively on chemotherapy. presented with right eye vision loss. https://www.spidertattooz.com/Orly-Nail-Lacquer-Artificial-Sweetener-20758-p28641/