Meyer P, Cuny T, Daicker B
Universitäts-Augenklinik Basel.
Klin Monbl Augenheilkd. 1991 May;198(5):435-7. doi: 10.1055/s-2008-1046003.
Five patients, age 35 to 77, with histologically proven malignent ocular non-Hodgkin's lymphoma (previously known as reticulum cell sarkoma) are presented. The clinical ocular findings (vitreous infiltrates, retinal infiltrates, anterior uveitis) were initially misinterpreted as "panuveitis". The usual antiinflammatory therapie a temporary diminution of the "uveitis" could be observed. Four cases showed a histologically proven CNS involvement. All the patients (except the one in whom the correct diagnosis was made post mortem) received cerebral radiation therapie, including the eyes. Under the radiation therapy the ocular findings disappeared within a few weeks. The longtime prognosis for the eye and quoad vitam is unfortunately not promissing.
本文报告了5例年龄在35至77岁之间、经组织学证实为恶性眼非霍奇金淋巴瘤(以前称为网状细胞肉瘤)的患者。临床眼部表现(玻璃体浸润、视网膜浸润、前葡萄膜炎)最初被误诊为“全葡萄膜炎”。采用常规抗炎治疗后,可观察到“葡萄膜炎”暂时减轻。4例经组织学证实有中枢神经系统受累。所有患者(除1例死后才做出正确诊断的患者外)均接受了包括眼部在内的脑部放射治疗。在放射治疗下,眼部症状在几周内消失。不幸的是,眼部和总体生存期的长期预后并不乐观。