Majumder Parthopratim Dutta, Raghothaman Nirupama, Kharel Ranju, Kumar Nitin, Khetan Vikas
Nepal J Ophthalmol. 2017 Jan;9(18):83-86. doi: 10.3126/nepjoph.v9i1.17541.
A 72 years old female presented with bilateral painless progressive loss of vision over one year. She was diagnosed as non-resolving bilateral panuveitis. Her visual acuity in right eye was hand movement close to face and left eye was perception of light with inaccurate projection of rays. Bilateral anterior chamber had 1+ cells and flares. Vitreous cells had 1+ cells and haze in right eye but the left eye had 3+ vitreous cells and haze. Right eye fundus had multiple, discrete sub retinal yellowish deposits with subretinal haemorrhage and macular edema with perivascular infiltrates. In left eye, disc was just visible. The patient underwent diagnostic vitrectomy in left eye and undiluted vitreous sample on cytology showed reactive large lymphoid cells with necrotic background pattern suggestive of intraocular lymphoma. Patient underwent external beam radiotherapy and chemotherapy.
一名72岁女性，在一年多的时间里出现双侧无痛性进行性视力丧失。她被诊断为不缓解的双侧全葡萄膜炎。右眼视力为眼前手动，左眼为光感且光线投射不准确。双侧前房有1+细胞和房水闪辉。右眼玻璃体有1+细胞和混浊，而左眼有3+玻璃体细胞和混浊。右眼眼底有多个散在的视网膜下黄色沉积物，伴有视网膜下出血和黄斑水肿及血管周围浸润。左眼视盘仅隐约可见。患者左眼接受了诊断性玻璃体切除术，玻璃体样本未稀释的细胞学检查显示有反应性大淋巴细胞，伴有坏死背景模式，提示眼内淋巴瘤。患者接受了外照射放疗和化疗。
