title: Primary Ocular Adnexal Extranodal Marginal Zone Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Presenting as Orbital Apex Syndrome.
abstract: A 75-year-old female with a past medical history significant for prior stroke and atrial fibrillation presented with acute onset of orbital apex syndrome with chemosis and periorbital ecchymosis. Following initial treatment to relieve intraocular pressure, she began spontaneously haemorrhaging retro-orbitally. Preliminary investigation with neuroimaging demonstrated a left orbital mass with extension into the orbital apex. A provisional diagnosis of cavernous haemangioma was made. She was treated with transorbital resection of the orbital mass. Subsequent histopathology revealed a diagnosis of ocular adnexal non-Hodgkin lymphoma of histologic type extranodal marginal zone of mucosa-associated lymphoid tissue (MALT lymphoma). MALT lymphoma should be considered in cases of orbital apex syndrome.
authors.affiliation: Department of Neurology, University of Chicago , Chicago, Illinois, USA.
authors.forename: Carlen A
authors.initials: CA
authors.lastname: Yuen
authors.affiliation: Department of Neurology, NorthShore University HealthSystem , Chicago, Illinois, USA.
authors.forename: John H
authors.initials: JH
authors.lastname: Pula
authors.affiliation: Department of Ophthalmology, NorthShore University HealthSystem , Chicago, Illinois, USA.
authors.forename: Milap
authors.initials: M
authors.lastname: Mehta
keywords: MALT lymphoma; ocular adnexal extranodal marginal zone; orbital apex syndrome