Open AccessPerineuritis or infiltration of optic nerve sheath? A presentation of diffuse large B cell Gastric lymphoma
Author(s) -
Swati Phuljhele,
Divya Agarwal,
Prashant Ramteke,
Adarsh Shashni,
Pradeep Sharma
Publication year - 2020
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/ijo.ijo_711_19
Subject(s) - medicine , optic nerve , lymphoma , tolosa–hunt syndrome , pathology , cavernous sinus , superior orbital fissure , orbit (dynamics) , central retinal vein occlusion , anatomy , ophthalmology , retinal , engineering , aerospace engineering , macular edema
Optic perineuritis is an inflammatory disorder involving the optic nerve sheath. It is currently considered as a part of idiopathic orbital inflammatory disease which also includes dacryoadenitis, orbital myositis, superior orbital fissure, and cavernous sinus syndrome (Tolosa hunt syndrome). As it is idiopathic, it is considered a diagnosis of exclusion. Another important differential is optic nerve lymphoma. Isolated optic nerve lymphoma associated with systemic involvement has been described in literature. We report a case that presented as third nerve palsy but later on developed central retinal vein occlusion and was ultimately diagnosed as primary gastric lymphoma of diffuse large B cell type.