Intraocular involvement of a nasal natural killer T-cell lymphoma: a case report

Herein, we report a case of nasal natural killer T-cell lymphoma (NKTL) with intraocular involvement. A 57-year-old woman was referred due to a three-day history of photophobia and diplopia in the left eye. One-month previously, she was diagnosed with nasal NKTL of the right nasal cavity. Ophthalmic...

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Bibliographic Details
Published in:Korean journal of ophthalmology 2012, 26(1), , pp.54-57
Main Authors: Yoo, Jae Ho, Kim, Soo Young, Jung, Kyu Bong, Lee, Jung Joo, Lee, Sang Joon
Format: Article
Language:English
Subjects:
Case Report
Diagnosis, Differential
Eye Neoplasms - diagnosis
Eye Neoplasms - secondary
Eye Neoplasms - therapy
Fatal Outcome
Female
Humans
Lymphoma, T-Cell - pathology
Magnetic Resonance Imaging
Middle Aged
Natural Killer T-Cells - pathology
Nose Neoplasms - pathology
안과학
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Summary:Herein, we report a case of nasal natural killer T-cell lymphoma (NKTL) with intraocular involvement. A 57-year-old woman was referred due to a three-day history of photophobia and diplopia in the left eye. One-month previously, she was diagnosed with nasal NKTL of the right nasal cavity. Ophthalmic examination revealed conjunctival injection and ptosis. The left pupil was fully dilated and non-reactive to light. Ocular motion was restricted on left-upper gaze. Five days later, anterior uveitis developed and persisted despite topical steroid treatment. An orbital magnetic resonance imaging was without specific findings, however, ophthalmoplegia, vitreous opacity, and an iris mass were observed. A diagnostic anterior chamber aspiration was performed. Aqueous humor aspiration revealed 35% morphologically atypical lymphocytes. After an intravitreal triamcinolone injection, radiotherapy and chemotherapy were administered; this resolved the uveitis and iris mass. When refractory uveitis or orbital pseudotumor occurs in patients with nasal NKTL, ocular and orbital involvement of the NKTL should be considered.
ISSN:1011-8942
2092-9382
DOI:10.3341/kjo.2012.26.1.54