Author/Authors :
Karimi, Mehrdad Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Soheilian, Masoud Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Rezaei Kanavi, Mozhgan Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Purpose: To report a case of bilateral primary intraocular lymphoma.
Case report: A 33-year-old man presented with bilateral blurred vision since two
years ago. Examination revealed large keratic precipitates, anterior chamber reaction,
posterior subcapsular cataracts, and vitreous infiltration. After a short trial of topical
and periocular steroids, diagnostic 25-gauge pars plana vitrectomy was performed and
cytologic evaluation of the aspirate confirmed a diagnosis of intraocular lymphoma.
The patient was subsequently managed with intravitreal methotrexate in both eyes and
responded favorably. Central nervous system workup for lymphoma was negative.
Conclusion: Primary intraocular lymphoma should be considered in young adults
suffering from chronic recalcitrant panuveitis
