Vitritis as the initial manifestation of recurrent mycosis fungoides.
OBJECTIVE
To report a case of mycosis fungoides in which vitritis was the earliest manifestation of recurrence.


METHODS
A 52-year-old man was followed-up from his initial presentation with vitritis to his death due to recurrent mycosis fungoides over a 5-month period.


RESULTS
The patient presented with progressive visual loss in the left eye. Slit-lamp examination revealed severe vitritis, and analysis of a vitreous fluid sample demonstrated a monomorphic population of abnormal T-cell lymphocytes, typical of mycosis fungoides. Three months after developing vitritis, the patient had extraocular recurrence of the disease, and he died 2 months later.


CONCLUSIONS
Recurrent mycosis fungoides may present with isolated intraocular involvement.
From *Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Ontario, Canada; †Ivey Eye Institute, London, Ontario, Canada; ‡Peel Regional Oncology Program, Department of Radiation Oncology, Credit Valley Hospital, Mississauga, and McMaster University, Hamilton, Ontario, Canada; and §Departments of Pathology and Ophthalmology & Visual Sciences, Dalhousie University, Halifax, Nova Scotia, Canada.
Michael J
MJ
Wan
Tom G
TG
Sheidow
Glenn W
GW
Jones
J Godfrey
JG
Heathcote