Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma

Aim: This study aimed to report a case of vitreous and optic nerve infiltration of a primary adrenal B lymphoma. Case Report: An 81-year-old patient consulted for decrease in vision in the left eye and pain with ocular movements during the last week. The patient was being treated with chemotherapy f...

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Autores principales: Lucía Galletero Pandelo, Cristina Rodríguez Vidal, Joseba Artaraz, Nerea Martínez-Alday, Alex Fonollosa
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Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/2aade73626ac4b3197772d2cf8f3b415
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spelling oai:doaj.org-article:2aade73626ac4b3197772d2cf8f3b4152021-12-02T12:40:23ZVitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma1663-269910.1159/000520338https://doaj.org/article/2aade73626ac4b3197772d2cf8f3b4152021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520338https://doaj.org/toc/1663-2699Aim: This study aimed to report a case of vitreous and optic nerve infiltration of a primary adrenal B lymphoma. Case Report: An 81-year-old patient consulted for decrease in vision in the left eye and pain with ocular movements during the last week. The patient was being treated with chemotherapy for an adrenal gland diffuse large B-cell lymphoma. On examination, vitritis was seen in both eyes and optic disc edema in his left eye. After an extensive study based on orbital and brain magnetic resonance imaging and vitreous cytology, an ocular infiltration by systemic B lymphoma was confirmed. A treatment based on intravitreal methotrexate was carried out, achieving the regression of the vitreous infiltration and resolution of the optic disc edema. Systemic B lymphoma metastasizing ocular structures is extremely infrequent. The manifestations may mimic an inflammatory disease. Ophthalmologists should be aware of these manifestations and consider among the masquerade syndromes.Lucía Galletero PandeloCristina Rodríguez VidalJoseba ArtarazNerea Martínez-AldayAlex FonollosaKarger Publishersarticlelymphomametastasesvitritisoptic disc edemamethotrexateOphthalmologyRE1-994ENCase Reports in Ophthalmology, Vol 12, Iss 3, Pp 915-920 (2021)
institution DOAJ
collection DOAJ
language EN
topic lymphoma
metastases
vitritis
optic disc edema
methotrexate
Ophthalmology
RE1-994
spellingShingle lymphoma
metastases
vitritis
optic disc edema
methotrexate
Ophthalmology
RE1-994
Lucía Galletero Pandelo
Cristina Rodríguez Vidal
Joseba Artaraz
Nerea Martínez-Alday
Alex Fonollosa
Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
description Aim: This study aimed to report a case of vitreous and optic nerve infiltration of a primary adrenal B lymphoma. Case Report: An 81-year-old patient consulted for decrease in vision in the left eye and pain with ocular movements during the last week. The patient was being treated with chemotherapy for an adrenal gland diffuse large B-cell lymphoma. On examination, vitritis was seen in both eyes and optic disc edema in his left eye. After an extensive study based on orbital and brain magnetic resonance imaging and vitreous cytology, an ocular infiltration by systemic B lymphoma was confirmed. A treatment based on intravitreal methotrexate was carried out, achieving the regression of the vitreous infiltration and resolution of the optic disc edema. Systemic B lymphoma metastasizing ocular structures is extremely infrequent. The manifestations may mimic an inflammatory disease. Ophthalmologists should be aware of these manifestations and consider among the masquerade syndromes.
format article
author Lucía Galletero Pandelo
Cristina Rodríguez Vidal
Joseba Artaraz
Nerea Martínez-Alday
Alex Fonollosa
author_facet Lucía Galletero Pandelo
Cristina Rodríguez Vidal
Joseba Artaraz
Nerea Martínez-Alday
Alex Fonollosa
author_sort Lucía Galletero Pandelo
title Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
title_short Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
title_full Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
title_fullStr Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
title_full_unstemmed Vitreous and Optic Nerve Infiltration of an Adrenal B Lymphoma
title_sort vitreous and optic nerve infiltration of an adrenal b lymphoma
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/2aade73626ac4b3197772d2cf8f3b415
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AT josebaartaraz vitreousandopticnerveinfiltrationofanadrenalblymphoma
AT nereamartinezalday vitreousandopticnerveinfiltrationofanadrenalblymphoma
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