Indian Journal of Ophthalmology

OPHTHALMIC IMAGE
Year
: 2019  |  Volume : 67  |  Issue : 2  |  Page : 275-

Bilateral vitritis as an initial presentation of primary central nervous system lymphoma


Nitin K Menia1, Ranjan Behera1, Reema Bansal1, Nalini Gupta2, Astha Takkar3, Vivek Lal3,  
1 Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Cytology and Gynecological Pathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
3 Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Dr. Reema Bansal
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh - 160 012
India




How to cite this article:
Menia NK, Behera R, Bansal R, Gupta N, Takkar A, Lal V. Bilateral vitritis as an initial presentation of primary central nervous system lymphoma.Indian J Ophthalmol 2019;67:275-275


How to cite this URL:
Menia NK, Behera R, Bansal R, Gupta N, Takkar A, Lal V. Bilateral vitritis as an initial presentation of primary central nervous system lymphoma. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jul 22 ];67:275-275
Available from: http://www.ijo.in/text.asp?2019/67/2/275/250681


Full Text



A 75-year-old male with 6/36 vision (both eyes) for 6 months had few keratic precipitates and dense vitritis precluding fundus details [Figure 1]a and [Figure 1]b. Following vitrectomy in left eye, vitreous cytology and immunocytochemistry confirmed B-cell non-Hodgkin's lymphoma [Figurre 1]c. Brain MRI showed focal lesions in parafalcine region of left frontal lobe [Figure 1]d. Cerebrospinal fluid (CSF) cytology confirmed central nervous system (CNS) lymphoma. He received intravitreal and systemic chemotherapy, with no recurrence at 10-month follow-up. Primary vitreoretinal lymphoma should be suspected in cases with first episode of uveitis in an elderly patient, dense vitritis, without posterior synechiae, or macular edema.[1],[2],[3],[4],[5]{Figure 1}

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Conflicts of interest

There are no conflicts of interest.

References

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