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Related Concept Videos

Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

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Related Experiment Video

Updated: May 16, 2026

Cell-Free DNA Extraction of Vitreous and Aqueous Humor Specimens for Diagnosis and Monitoring of Vitreoretinal Lymphoma
06:20

Cell-Free DNA Extraction of Vitreous and Aqueous Humor Specimens for Diagnosis and Monitoring of Vitreoretinal Lymphoma

Published on: January 12, 2024

Intraocular lymphoma: a clinical perspective.

J L Davis1

  • 1Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, FL 33136, USA. jdavis@med.miami.edu

Eye (London, England)
|December 1, 2012
PubMed
Summary

Primary vitreoretinal lymphoma (PVRL) is a rare, aggressive cancer. While ocular treatments may stabilize eye symptoms, they often don't prevent central nervous system (CNS) involvement, highlighting the disease's poor prognosis.

Area of Science:

  • Ophthalmology
  • Oncology
  • Neurology

Background:

  • Primary vitreoretinal lymphoma (PVRL) is a rare malignancy with a propensity to invade ocular and central nervous system (CNS) microenvironments.
  • While the eye is involved in 20% of primary CNS lymphomas, approximately 80% of PVRL cases eventually involve the brain.
  • Most PVRL cases are B-cell lymphomas, with rarer T-cell lymphomas metastasizing to the vitreous and retina.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and treatment controversies of primary vitreoretinal lymphoma.
  • To emphasize the challenges in differentiating intraocular lymphoma from uveitis and the diagnostic modalities available.
  • To discuss treatment strategies for intraocular lymphoma and their impact on CNS disease progression.

Main Methods:

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Cell-Free DNA Extraction of Vitreous and Aqueous Humor Specimens for Diagnosis and Monitoring of Vitreoretinal Lymphoma
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  • Review of existing literature on primary vitreoretinal lymphoma.
  • Analysis of diagnostic techniques including cytology, immunohistochemistry, flow cytometry, molecular detection, and cytokine profiling.
  • Evaluation of treatment approaches, including systemic chemotherapy, ocular adjunctive treatments, and their efficacy regarding CNS involvement.

Main Results:

  • Distinguishing PVRL from uveitis can be clinically challenging due to overlapping features and reactive inflammation.
  • Ocular fluid analysis for diagnosis is technically demanding but crucial.
  • While ocular treatments can improve vision and stabilize intraocular disease, they do not prevent CNS progression, indicating a poor prognosis.

Conclusions:

  • PVRL is a highly malignant disease requiring a multidisciplinary approach involving pathologists, oncologists, and open patient communication.
  • Current treatments for ocular-limited disease may not alter the high rate of CNS involvement.
  • Further research is needed to improve diagnostic accuracy and therapeutic outcomes for PVRL.