Secondary Choroidal Lymphoma Associated with Systemic Choroidal Lymphoma.
10.3341/jkos.2015.56.3.458
- Author:
Sun Hee KANG
1
;
Byung Moon KIM
;
Yoon Young KIM
Author Information
1. Department of Ophthalmology, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Secondary choroidal lymphoma;
Systemic lymphoma
- MeSH:
Biopsy;
Choroid*;
Drug Therapy;
Female;
Follow-Up Studies;
Humans;
Intraocular Lymphoma;
Lymph Nodes;
Lymphoma*;
Lymphoma, B-Cell;
Methotrexate;
Middle Aged;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2015;56(3):458-462
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of secondary choroidal lymphoma. CASE SUMMARY: A 57-year-old female presented at our clinic with decreased vision in her right eye 1 month in duration. Slit-lamp examination showed vitreous cells in the right eye. Fundus examination of the right eye revealed an elevated yellowish mass-like lesion at the temporal area and multifocal yellowish patches at the choroidal level. The clinical impression was intraocular lymphoma. We performed diagnostic vitrectomy, but the result was negative. A systemic evaluation revealed enlarged cervical lymph nodes and lymph node biopsy showed diffuse large B-cell lymphoma. The patient was diagnosed as secondary choroidal lymphoma associated with systemic lymphoma and was treated with systemic chemotherapy and 4 injections of intravitreal methotrexate. The patient is scheduled for regular follow-ups. CONCLUSIONS: Choroidal mass may be the initial presenting sign of systemic lymphoma, and an extensive systemic evaluation should be performed.
