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Candy Cane Hypopyon Secondary to Intraocular Mantle Cell Lymphoma: A Case Report
Fatima Babiker1,2, Avery Zhou1,2, Ploysai Rujkorakarn1,2
1The Ocular Immunology and Uveitis Foundation, Waltham, MA, USA.
Case Reports in Ophthalmology
|December 9, 2024
Summary
This study reports a rare case of bilateral hemorrhagic hypopyon, a unique presentation of intraocular Mantle Cell Lymphoma (MCL). The findings highlight an unusual ocular manifestation of this cancer.
Area of Science:
- Ophthalmology
- Hematology
- Oncology
Background:
- Mantle Cell Lymphoma (MCL) is a rare non-Hodgkin lymphoma.
- Ocular involvement in MCL typically affects adnexal structures, rarely the uvea.
Observation:
- A 63-year-old male presented with bilateral hemorrhagic hypopyon and conjunctival injection.
- The patient had a history of diffuse lymphadenopathy and malaise.
- Diagnosis confirmed intraocular MCL via anterior chamber paracentesis.
Findings:
- This case represents an extremely rare presentation of MCL with bilateral hemorrhagic hypopyon.
- Intraocular MCL was confirmed in the setting of systemic MCL.
Implications:
- This case expands the spectrum of ocular manifestations of Mantle Cell Lymphoma.
- Highlights the importance of considering intraocular lymphoma in atypical hypopyon presentations.
- Successful treatment achieved with a multimodal approach including intravitreal, systemic, and radiation therapy.
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