系统性淋巴瘤的眼部表现
Tingting Jiang1,2,3, Xinyi Zhou1,2,3, Junxiang Gu1,2,3
1Eye Institute and Department of Ophthalmology, Eye and ENT Hospital, Fudan University, Shanghai, China.
Indian journal of ophthalmology
|September 19, 2025
概括
系统性淋巴瘤 (SL) 可以呈现眼部问题,如二次性视网膜淋巴瘤 (SVRL) 或病毒性视网膜炎. 通过眼部监视进行早期检测对于管理SL患者这些危及视力的疾病至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 医学研究 医学研究
背景情况:
- 系统性淋巴瘤 (SL) 可以表现为眼部并发症.
- 早期识别这些眼部表现对于及时治疗和改善患者结果至关重要.
研究的目的:
- 综合了解系统性淋巴瘤 (SL) 的眼部表现.
- 确定SL患者中二级视网膜淋巴瘤 (SVRL) 和病毒性视网膜炎的关键差异和诊断方法.
主要方法:
- 一项回顾性研究总结了17名SL患者的眼部表现.
- 对临床表现,诊断发现和治疗结果的分析.
主要成果:
- 在17名SL患者中,12人患有二次性视网膜淋巴瘤 (SVRL),五人患有病毒性视网膜炎.
- 在SVRL中,涉及了视视网膜结构 (76.2%),胆膜 (14.3%) 或眼腺 (9.5%),SL诊断后的中位延迟为63个月.
- 病毒性视网膜炎与视炎和视网膜亡一起出现,SL诊断后的中位延迟为15个月.
结论:
- 二次性视网膜淋巴瘤 (SVRL) 和病毒性视网膜炎是系统性淋巴瘤 (SL) 的明显的眼部表现.
- 玻璃体活检和PCR检测对于区分SVRL和病毒性视网膜炎至关重要.
- 长期的眼部监测对于被诊断为全身淋巴瘤的患者至关重要.
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