Diagnostic vitrectomy (25-gauge) in a case with intraocular lymphoma masquerading as bilateral granulomatous panuveitis
| Autor: | Masoud Soheilian, Bijan Bijanzadeh, Gholam A. Peyman, Mozhgan Rezaei Kanavi |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Visual acuity Lymphoma B-Cell genetic structures medicine.medical_treatment Vitrectomy Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Ophthalmology Panuveitis medicine Humans Aged Granuloma medicine.diagnostic_test Lumbar puncture business.industry Eye Neoplasms General Medicine Phacoemulsification medicine.disease eye diseases Lymphoma Cytopathology 030221 ophthalmology & optometry Female sense organs Intraocular lymphoma medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | European journal of ophthalmology. 20(4) |
| ISSN: | 1120-6721 |
| Popis: | Purpose. To report a case of intraocular lymphoma, masquerading as bilateral granulomatous panuveitis, and diagnosed after harvesting vitreous specimen with a 25-gauge vitrectomy instrument. Methods. A 67-year-old woman presented with bilateral granulomatous uveitis. Visual acuity in both eyes was severely impaired because of severe concurrent cataract and vitreous organization. Sutureless phacoemulsification and posterior chamber intraocular lens implantation combined with 25-gauge diagnostic vitrectomy was performed. Results. Cytopathology and immunocytochemistry of the vitreous disclosed a non-Hodgkin B-cell lymphoma despite unremarkable brain MRI, lumbar puncture, bone marrow aspiration, and whole body scan. Visual acuity improved to 20/120 in both eyes. Conclusions. Sutureless combined 25-gauge diagnostic vitrectomy, phacoemulsification, and posterior chamber intraocular lens implantation during one-stage surgery was effective in obtaining appropriate vitreous material for cytology in a case of intraocular lymphoma. |
| Databáze: | OpenAIRE |
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