Secondary Choroidal Lymphoma Associated with Systemic Choroidal Lymphoma.

Kang, Sun Hee; Kim, Byung Moon; Kim, Yoon Young

doi:2015.56.3.458

J Korean Ophthalmol Soc > Volume 56(3); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(3):458-462.
DOI: https://doi.org/10.3341/jkos.2015.56.3.458 Published online March 15, 2015.

Secondary Choroidal Lymphoma Associated with Systemic Choroidal Lymphoma.

Sun Hee Kang, Byung Moon Kim, Yoon Young Kim

Department of Ophthalmology, Daegu Catholic University Medical Center, Catholic University of Daegu School of Medicine, Daegu, Korea. yykim@cu.ac.kr

전신 림프종과 동반된 이차성 맥락막 림프종 1예

강선희⋅김병문⋅김윤영

대구가톨릭대학교 의과대학 대구가톨릭대학교병원 안과학교실

Abstract

PURPOSE
To report a case of secondary choroidal lymphoma. CASE SUMMARY: A 57-year-old female presented at our clinic with decreased vision in her right eye 1 month in duration. Slit-lamp examination showed vitreous cells in the right eye. Fundus examination of the right eye revealed an elevated yellowish mass-like lesion at the temporal area and multifocal yellowish patches at the choroidal level. The clinical impression was intraocular lymphoma. We performed diagnostic vitrectomy, but the result was negative. A systemic evaluation revealed enlarged cervical lymph nodes and lymph node biopsy showed diffuse large B-cell lymphoma. The patient was diagnosed as secondary choroidal lymphoma associated with systemic lymphoma and was treated with systemic chemotherapy and 4 injections of intravitreal methotrexate. The patient is scheduled for regular follow-ups. CONCLUSIONS: Choroidal mass may be the initial presenting sign of systemic lymphoma, and an extensive systemic evaluation should be performed.

Key Words: Secondary choroidal lymphoma;Systemic lymphoma