Non-Hodgkin lymphoma presenting with uveitis occurring after blunt trauma.
We report here an unusual patient suffering from visual loss with refractory uveitis which was occured after a blunt trauma to her left eye. While in the hospital cervical lymph node and anterior chamber aspiration cytology with immunohistochemical staining were performed. The histopathologic diagnosis was highly malignant B-cell non-Hodgkin lymphoma. After the inflammation of the eye was regressed with chemotherapy, pars plana vitrectomy-lensectomy was performed. She was free of inflammation and the best corrected visual acuity was increased. However, she had a refractory inflammatory episode with clumps of cells in the anterior chamber 10 months after the operation. Local radiotherapy to the left eye was applied. Radiotherapy provided local control and preservation of the vision. The present case is presented in order to emphasize the importance of systemic evaluation in uveitis and possible role of trauma leading migration of atypical cells into the eye.
Soylu
Merih
M
Department of Ophthalmology, Faculty of Medicine, Cukurova University, Adana, Turkey.
Ozcan
Altan Atakan
AA
Okay
Okan
O
Sasmaz
Ilgen
I
Tanyeli
Atilla
A
D000293:Adolescent; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D006801:Humans; D007908:Lens, Crystalline / Q000473:pathology / Q000601:surgery; D016393:Lymphoma, B-Cell / Q000209:etiology*; D011878:Radiotherapy; D014605:Uveitis / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D014821:Vitrectomy