Orbital lymphoma presenting as an unstable ocular prosthesis: a salutary lesson

We report the unusual presentation of an extranodal marginal zone B-cell lymphoma presenting as instability of an ocular prosthesis. More commonly, the stability of an ocular prosthesis can be affected by orbital implant migration, sunken superior sulcus, eyelid malformations, shallow inferior fornix, and contracted sockets (Charlton & Weinstein, 1995). Although rare, this case highlights the importance of meticulous examination of the socket, including careful palpation for any potential masses. To our knowledge, instability of an ocular prosthesis in association with orbital lymphoma has not been described previously.