Open AccessCombined central retinal artery and vein occlusion secondary to systemic non-Hodgkin′s lymphoma
Author(s) -
Dhananjay Shukla,
Anmol Arora,
Khazaei M Hadi,
Mahesh Kumar,
Satish Baddela,
Kim Ramasamy
Publication year - 2006
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.27077
Subject(s) - medicine , central retinal vein occlusion , occlusion , optic nerve , optic neuropathy , magnetic resonance imaging , lymphoma , ophthalmic artery , central retinal vein , neovascular glaucoma , fluorescein angiography , radiology , surgery , ophthalmology , visual acuity , pathology , macular edema , blood flow , diabetic retinopathy , diabetes mellitus , endocrinology
We report a rare case of low-grade systemic B-cell non-Hodgkin's lymphoma (NHL) causing central retinal artery and vein occlusion, which was the only manifestation of disease recurrence. A young man with resolved systemic NHL underwent fluorescein angiography, magnetic resonance imaging and computed tomography to investigate a severe unilateral visual loss. A combined vascular occlusion was observed in the right eye. Neuroimaging detected optic nerve infiltration; but no systemic/ central nervous system involvement was observed. The patient was treated with high-doses of corticosteroids and optic nerve irradiation. The optic neuropathy and vascular occlusion were resistant to treatment. The subsequent neovascular glaucoma was treated by panretinal photocoagulation, which relieved the pain, but vision was not recovered. No further recurrence was observed over the following year.