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Ocular adnexal lymphoma presenting with visual loss
Shuchi Gulati1, Zélia M Corrêa2, Nagla Karim3, Stephen Medlin4
1 Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio, USA
2 Department of Ophthalmology, Mary Knight Asbury Chair of Ophthalmic Pathology and Ocular Oncology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA
3 Department of Hematology/Oncology, University of Cincinnati Medical Center, Cincinnati, Ohio, USA
4 Chief, Hematological Malignancies and Bone Marrow Transplantation Program, University of Cincinnati Medical Center, Cincinnati, Ohio, USA
Correspondence Address:
Shuchi Gulati
Department of Internal Medicine, University of Cincinnati, 231 Albert Sabin Way, ML 0535, Cincinnati - 45267-0535, Ohio
USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1947-2714.175217
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Context: Elderly patients with visual loss often have age-related macular degeneration, diabetic retinopathy, glaucoma, and cataract as common causes of visual loss. Other less common etiologies should be considered, especially in those presenting with systemic associations. Case Report: The patient discussed in our review is an 80-year-old female, with a history of diabetic retinopathy and macular degeneration who presented with a sudden deterioration of vision. While this was initially attributed to diabetic retinopathy, she was eventually noted to have a salmon patch lesion in her conjunctiva, diagnosed on biopsy to be a diffuse large B-cell lymphoma. Conclusion: Because of the significant rate of disseminated disease among patients with lymphomas in the orbit that carries a worse prognosis, early diagnosis is essential to promote better overall survival of these patients. We describe here a patient diagnosed with conjunctival lymphoma associated with pronounced visual loss and review the literature on this subject. |
