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[Posterior uveitis caused by highly malignant B cell lymphoma].
Summary
High-grade B-cell lymphoma, a type of non-Hodgkin lymphoma, can manifest in the eye. Diagnostic vitrectomy identified lymphoma cells in patients with posterior uveitis, with some developing brain tumors.
Area of Science:
- Ophthalmology
- Neurology
- Oncology
Background:
- Posterior uveitis of unknown origin can be challenging to diagnose.
- Diagnostic vitrectomy is a valuable tool for analyzing intraocular inflammation.
Observation:
- Three patients with severe posterior uveitis underwent diagnostic vitrectomy.
- Cytological analysis revealed high-grade B-cell lymphoma cells in all cases.
- One patient presented with concurrent thalamic tumor, indicative of cerebral lymphoma.
Findings:
- Ocular lymphoma (high-grade B-cell lymphoma) was confirmed via vitrectomy in all patients.
- Two patients initially without central nervous system (CNS) involvement later developed it.
- One patient showed cerebellar and diencephalon tumor infiltration 9 months post-diagnosis.
Implications:
- Early diagnosis of ocular lymphoma through vitrectomy is crucial.
- Ocular manifestations can be an early sign of systemic lymphoma, including CNS involvement.
- Prompt treatment, such as radiation therapy, can lead to resolution of ocular symptoms.