Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report

Abstract Purpose Our purpose is to report a patient with secondary intraocular mucosa-associated lymphoid tissue (MALT) who experienced spontaneous regression after diagnostic vitrectomy. Methods We retrospectively reviewed the clinical and imaging features of the case. Multimodal imaging, including...

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Main Authors: Linyang Gan, Junjie Ye
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-02967-5
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author Linyang Gan
Junjie Ye
author_facet Linyang Gan
Junjie Ye
author_sort Linyang Gan
collection DOAJ
description Abstract Purpose Our purpose is to report a patient with secondary intraocular mucosa-associated lymphoid tissue (MALT) who experienced spontaneous regression after diagnostic vitrectomy. Methods We retrospectively reviewed the clinical and imaging features of the case. Multimodal imaging, including fundus photograph, optical coherence tomography, fundus fluorescein angiography and ultrasound scan was presented. Results A 71-year-old female presented with a subretinal lesion temporal to macula and scattered multifocal creamy lesions deep to retina in her left eye. Optical coherence tomography of the left eye showed multifocal nodular hyper-reflective signals between the Bruch’s membrane and RPE. She had a history of gastric MALT lymphoma. Diagnostic vitrectomy was performed. IL-10 level of aqueous was 187.7pg/ml. Cytology, gene rearrangement and flow cytometry of the vitreous were inconclusive. Systemic evaluation was normal. Secondary vitreoretinal MALT lymphoma was considered. Interestingly, her subretinal lesions regressed gradually without any chemotherapy. And IL-10 level of aqueous declined to 64.3pg/ml. Conclusions Secondary vitreoretinal MALT lymphoma is extremely rare. Spontaneous regression of intraocular lymphoma does occur.
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spelling doaj.art-b78d086825344845a2f9d7ceda73cb742023-05-21T11:11:37ZengBMCBMC Ophthalmology1471-24152023-05-012311410.1186/s12886-023-02967-5Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case reportLinyang Gan0Junjie Ye1Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical SciencesDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical SciencesAbstract Purpose Our purpose is to report a patient with secondary intraocular mucosa-associated lymphoid tissue (MALT) who experienced spontaneous regression after diagnostic vitrectomy. Methods We retrospectively reviewed the clinical and imaging features of the case. Multimodal imaging, including fundus photograph, optical coherence tomography, fundus fluorescein angiography and ultrasound scan was presented. Results A 71-year-old female presented with a subretinal lesion temporal to macula and scattered multifocal creamy lesions deep to retina in her left eye. Optical coherence tomography of the left eye showed multifocal nodular hyper-reflective signals between the Bruch’s membrane and RPE. She had a history of gastric MALT lymphoma. Diagnostic vitrectomy was performed. IL-10 level of aqueous was 187.7pg/ml. Cytology, gene rearrangement and flow cytometry of the vitreous were inconclusive. Systemic evaluation was normal. Secondary vitreoretinal MALT lymphoma was considered. Interestingly, her subretinal lesions regressed gradually without any chemotherapy. And IL-10 level of aqueous declined to 64.3pg/ml. Conclusions Secondary vitreoretinal MALT lymphoma is extremely rare. Spontaneous regression of intraocular lymphoma does occur.https://doi.org/10.1186/s12886-023-02967-5Secondary vitreoretinal lymphomaDiagnostic vitrectomySpontaneous regressionGastric MALT lymphomaCase report
spellingShingle Linyang Gan
Junjie Ye
Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
BMC Ophthalmology
Secondary vitreoretinal lymphoma
Diagnostic vitrectomy
Spontaneous regression
Gastric MALT lymphoma
Case report
title Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
title_full Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
title_fullStr Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
title_full_unstemmed Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
title_short Spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy: case report
title_sort spontaneous regression of secondary vitreoretinal lymphoma after diagnostic vitrectomy case report
topic Secondary vitreoretinal lymphoma
Diagnostic vitrectomy
Spontaneous regression
Gastric MALT lymphoma
Case report
url https://doi.org/10.1186/s12886-023-02967-5
work_keys_str_mv AT linyanggan spontaneousregressionofsecondaryvitreoretinallymphomaafterdiagnosticvitrectomycasereport
AT junjieye spontaneousregressionofsecondaryvitreoretinallymphomaafterdiagnosticvitrectomycasereport