Primary Vitreoretinal Lymphoma Presenting as a Posterior Capsule Plaque

Ophthalmic Surgery, Lasers & Imaging Retina
Rehan M HussainThomas A Albini

Abstract

Primary vitreoretinal lymphoma (PVRL) can be a diagnostic challenge and commonly presents as a partially steroid-responsive vitritis or as subretinal cream-colored infiltrates. The authors present a patient with PVRL who initially presented with bilateral vitritis; however, after two non-diagnostic vitrectomy specimens and two unremarkable brain MRIs, she was lost to follow-up. She presented 2.5 years later with a white plaque on the posterior capsule of her left intraocular lens, though the vitreous cavity was free of infiltrate. Repeat biopsy revealed diffuse large B-cell lymphoma, and brain MRI demonstrated an enhancing lesion of the cerebellum, consistent with primary central nervous system lymphoma.

References

Apr 18, 2001·Current Opinion in Oncology·R R BuggageR B Nussenblatt
Feb 28, 2007·Ophthalmology·Anni KarmaIlkka J Immonen

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