title: Ocular Adnexal Lymphoma Presenting with Visual Loss.
abstract: BACKGROUND
  Elderly patients with visual loss often have age-related macular degeneration, diabetic retinopathy, glaucoma, and cataract as common causes of visual loss. Other less common etiologies should be considered, especially in those presenting with systemic associations.
  
  
  METHODS
  The patient discussed in our review is an 80-year-old female, with a history of diabetic retinopathy and macular degeneration who presented with a sudden deterioration of vision. While this was initially attributed to diabetic retinopathy, she was eventually noted to have a salmon patch lesion in her conjunctiva, diagnosed on biopsy to be a diffuse large B-cell lymphoma.
  
  
  CONCLUSIONS
  Because of the significant rate of disseminated disease among patients with lymphomas in the orbit that carries a worse prognosis, early diagnosis is essential to promote better overall survival of these patients. We describe here a patient diagnosed with conjunctival lymphoma associated with pronounced visual loss and review the literature on this subject.
authors.affiliation: Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
authors.forename: Shuchi
authors.initials: S
authors.lastname: Gulati
authors.affiliation: Department of Ophthalmology, Mary Knight Asbury Chair of Ophthalmic Pathology and Ocular Oncology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
authors.forename: Zélia M
authors.initials: ZM
authors.lastname: Corrêa
authors.affiliation: Department of Hematology/Oncology, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
authors.forename: Nagla
authors.initials: N
authors.lastname: Karim
authors.affiliation: Chief, Hematological Malignancies and Bone Marrow Transplantation Program, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Medlin
keywords: Elderly; eye; mucosa-associated lymphatic tissue (MALT); ocular lymphoma (OL); salmon patch