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Br J Ophthalmol 81:31-36 doi:10.1136/bjo.81.1.31
  • Original Article

Ocular non-Hodgkin’s lymphoma: a clinical study of nine cases

Table 2

History of the patients

Case Sex/age Site and recurrences Treatment Survival since Diagnosis Pathology Complications - evolution
1st sign 1st ocular
1 F/60 O, IU, CH Cort, top, SC 6 m 6 m Uveitis since 4 months
C, 4 m Surgery APC OML First treated as tuberculous meningitis
Coma after craniotomy
Pontocerebellar tumour
O, 2nd eye 5 m, IU, CH Cort, top AP eye post OML
2 M/59 C, putamen Surgery 6 y 5 y APC OML
Rx 48 Gy O + C
O, 1 y, IU, CH Vitr Vitr OML Corneal ulcer after Rx
Rx 35 Gy O
O, 3 y, IU, CH Vitr Vitr Cataract → ECCE + IOL
Cort, top
3 F/75 O + C, IU, CH, occipit, tumour Rx 45 Gy O + C 3 y 3 y ACT OML Uveitis since 1 year
Cort, SC + sys
C, 3 y Vertigo, gen condition↓
Paresis lower limb
4 M/75 O, IU, CH Vitr 14 m 14 m Vitr OML Uveitis both eyes since 6 months
Rx 50 Gy O
C, 9 m Subcoma cerebral extension tumour
5 F/35 O, CH, IU Cort, top, SC, sys 5 y 5 y Vitr Uveitis since 15 months both eyes
O + M, 2nd eye IU, CH, 10 m Vitr Vitr OML
Rx 45 Gy O both eyes
Chemo (1) + (4)
O, CH, IU 2 y Vitr + lensect Cataract both eyes > vision 20/20
Cort, top
C, cerebellum basal ganglia, 3 y Rx 44 Gy O + C
Chemo (1) + (4)
O, CH, IU 4 y Cort, top
Vitr + lensect
C, 5 y Cort, sys No more reaction
6 M/62 O, IU + ret det Vitr 2 y 2 y Vitr OML Uveitis since 7 months
Cort, top, sys Corneal ulcer
Rx 55 Gy O
O, 2nd eye 6 m, IU Chemo (2) Vitr OML
Cort, top, sys
C, 1 y Rx 45 Gy O + C Cerebral extension
7 M/54 C + P, pons cerebellum Rx45 Gy O + C 6 m 2 m Vertigo since 4 months
Cort, gen CT scan tumoral masses in pons, cerebellum, lungs, corneal ulcer
V, lungs
O, IU + RD 4 m Vitr + ret Vitr VA 1/20
AP eye post OML
8 M/53 C, frontal lobe Surgery 6 y 5 y APC CT scan several suggestive masses
O, 9 m, IU Cort, top, SC Treated as uveitis
O, 20 m Cort, top, SC, sys Both eyes, glaucoma
C, 4 y, temporal lobe Surgery APC OML Cataract both eyes
Rx 45 Gy + 10 Gy skull base O + C
O, 5 y, IU + CH Vitr, Rx 45 Gy O both eyes Vitr OML Vitr + ECCE + IOL
Other eye IU + cataract
Poor general health
9 M/60 V, spleen lymphadenopathy 1 y 1 y Serum blood SCL
O + C, 1 y, choroidal meningeal Chemo (3) + (4) Chorioret SCL
Rx 30 Gy O + C
Cort, sys
  • O = ocular; C = cerebral; M = mediastinum; V = visceral; IU = intermediate uveitis; CH = chorioretinitis; RD = retinal detachment; Chor = choroidal; Age = at time of diagnosis; Chorioret = chorioretinal biopsy; Site = initital localisation and recurrences with time lapse from diagnosis; y = year(s); m = month(s); AP = anatomopathology; APC = pathology cerebral biopsy; ACT = anterior chamber tap; Vitr = vitrectomy; = deceased; Cort = cortisone; top = topical; SC = subconjunctival; sys = systemic; Rx = radiotherapy; chemo = chemotherapy; ECCE = extracapsular cataract extraction; IOL = intraocular lens implant; OML = ocular malignant non-Hodgkin’s lymphoma; SCL = small cell non-Hodgkin’s lymphoma.

  • Chemotherapy: systemic: (1) Vepesid, cyclophosphamide, Adriamycin; (2) Adriablastine, cyclophosphamide, Vepesid, Oncovin, Cytosar; (3) Leukeran: intrathecal: (4) Methotrexate.

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