DR. MAYUR MOREKER

DR. DUDANI AJAY INDUR

Abstract

Introduction: Primary Vitreoretinal lymphoma (PVRL) masquerades as chronic uveitis.

Methods: Retrospective chart review of patients with PVRL; from January 2014 to December 2019.

Results: 6 patients with Intraocular Lymphoma presented to our institute. Of these; 4 patients (2 females / 2 males) had PVRL. Two patients (both females) were 50 years; one was 53 and one was 65 years. Initial diagnoses were “tubercular sub-retinal abscess”, “VKH Disease”, “Viral Uveitis” & “Optic Neuritis”. With a high index of suspicion for PVRL based on clinical picture and inadequate response; an initial cytological analysis of the vitreous was done in 3 patients and was normal. CNS involvement occurred in all patients; in10, 5, 35 and 9 months after initial vitreoretinal involvement. Histopathological diagnosis made in all patients after a brain biopsy leading to chemotherapy.

Conclusion: PVRL is increasingly presenting in younger age group and should be kept in mind in atypical uveitis.