Kanavi Mozhgan Rezaei, Soheilian Masoud, Bijanzadeh Bijan, Peyman Gholam A
Shahid Beheshti University (MC), Tehran, Iran.
Eur J Ophthalmol. 2010 Jul-Aug;20(4):795-8. doi: 10.1177/112067211002000426.
To report a case of intraocular lymphoma, masquerading as bilateral granulomatous panuveitis, and diagnosed after harvesting vitreous specimen with a 25-gauge vitrectomy instrument.
A 67-year-old woman presented with bilateral granulomatous uveitis. Visual acuity in both eyes was severely impaired because of severe concurrent cataract and vitreous organization. Sutureless phacoemulsification and posterior chamber intraocular lens implantation combined with 25-gauge diagnostic vitrectomy was performed.
Cytopathology and immunocytochemistry of the vitreous disclosed a non-Hodgkin B-cell lymphoma despite unremarkable brain MRI, lumbar puncture, bone marrow aspiration, and whole body scan. Visual acuity improved to 20/120 in both eyes.
Sutureless combined 25-gauge diagnostic vitrectomy, phacoemulsification, and posterior chamber intraocular lens implantation during one-stage surgery was effective in obtaining appropriate vitreous material for cytology in a case of intraocular lymphoma.
报告一例伪装成双侧肉芽肿性全葡萄膜炎的眼内淋巴瘤病例，该病例在使用25G玻璃体切割器械采集玻璃体标本后得以确诊。
一名67岁女性患者表现为双侧肉芽肿性葡萄膜炎。由于严重的并发性白内障和玻璃体机化，双眼视力严重受损。进行了无缝线超声乳化白内障吸除联合后房型人工晶状体植入术及25G诊断性玻璃体切割术。
尽管脑部MRI、腰椎穿刺、骨髓穿刺及全身扫描均无异常，但玻璃体的细胞病理学和免疫细胞化学检查显示为非霍奇金B细胞淋巴瘤。双眼视力提高到20/120。
在一期手术中，无缝线联合25G诊断性玻璃体切割术、超声乳化白内障吸除术及后房型人工晶状体植入术可有效地获取合适的玻璃体材料用于眼内淋巴瘤病例的细胞学检查。
