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[Uveal lymphoid infiltration with systemic extension].
J J Barbón García1, C Viña Escalar, C L Menéndez Fernández
1Servicio de Oftalmología, Hospital San Agustín, Avilés, Asturias. jjbarbon@telecable.es
Archivos De La Sociedad Espanola De Oftalmologia
|April 5, 2003
Summary
Reactive lymphoid hyperplasia of the uvea, a lymphocytic proliferation, can extend to orbital and systemic sites. This case highlights the importance of early diagnosis and treatment for this low-malignant condition.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Reactive lymphoid hyperplasia (RLH) primarily involves the uveal tract.
- It is generally considered a low-malignant condition.
Observation:
- A patient presented with uncontrollable glaucoma and retinal detachment without a break.
- Imaging revealed diffuse choroidal thickening.
- Over six years, the condition progressed to ocular and orbitary invasion and bone marrow infiltration.
Findings:
- The patient underwent enucleation and chemotherapy.
- Apparent total remission was achieved post-treatment.
Implications:
- This case demonstrates the potential for orbital and systemic extension of RLH, even when initially presenting as a localized uveal condition.
- Highlights the need for vigilant monitoring and potentially aggressive treatment strategies for RLH to prevent advanced disease progression.