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Clinical Sign and Symptom of Primary Vitreoretinal Lymphoma Short-Time After Retinal Reattachment Surgery: A Case Report Publisher



Fooladi MI1 ; Amini A2 ; Riaziesfahani H1 ; Ebrahimiadib N1 ; Johari M3 ; Ghassemi F1
Authors

Source: Journal of Ophthalmic Inflammation and Infection Published:2022


Abstract

Purpose: To describe a case of primary vitreoretinal lymphoma (PVRL), initially presented after successful repair of rhegmatogenous retinal detachment (RRD). Case presentation: A 65-year-old man underwent pars plana vitrectomy with silicone oil tamponade for total RRD with grade C proliferative vitreoretinopathy in the right eye. Ten months after silicon oil removal, the patient presented with weakened vision, and multiple small yellow sub-retinal elevations was observed in fundus examination and optical coherence tomography (OCT). A cytopathologic examination of the vitreous showed lymphoid cell infiltration with nuclear atypia, which is strongly indicative of malignant lymphoma. Subretinal lesions continued with no noticeable improvement after 9 sessions of 400 microgram methotrexate therapy. Conclusion: We identified the presentation of PVRL in a vitrectomized eye and the response to treatment in this article. © 2022, The Author(s).