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A case of lymphoma-associated retinopathy Junko Ikewaki 1 , Toshiharu Choshi 1 , Yuka Motomura 1 , Toshiaki Kubota 1 1Dept of Ophthalmol,Oita Univ Fac of Med pp.1319-1323
Published Date 2010/8/15
DOI https://doi.org/10.11477/mf.1410103296
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Abstract. Purpose:To report a case who showed impaired visual acuity and field defect as the initial manifestation and who was diagnosed with intracranial malignant lymphoma 18 months later. Case:A 68-year-old male was referred to us for bilateral photopsia and blurring since 8 months before. The visual acuity was reportedly 0.5 right and 0.3 left 4 months before. The ocular symptoms had not improved after systemic prednisolone therapy. Findings:Corrected visual acuity was 0.06 right and 1.0 left. Central scotoma was present in the right eye and visual field constriction in the left eye. Electroretinogram showed decreased a and b waves in both eyes. Fluorescein angiography showed diffuse dye leakage from retinal vessels. He developed hemiplegia with impaired consciousness 10 months later. He was diagnosed with intracranial malignant lymphoma. Optical coherence tomography showed attenuated outer retinal layers. Conclusion:Ocular manifestations in this case are compatible with the diagnosis of lymphoma-associated retinopathy.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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