Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis

Purpose. Herein, we report a case of primary intraocular lymphoma (PIOL) with the first presentation of bilateral Epstein-Barr virus- (EBV-) associated panuveitis. Case Presentation. A 69-year-old male was referred with a three-day history of blurred vision and pain and redness in his left eye follo...

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Main Authors: Seyedeh Maryam Hosseini, Mojtaba Abrishami, Elham Barashki, Ghodsieh Zamani
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2021/9496173
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author Seyedeh Maryam Hosseini
Mojtaba Abrishami
Elham Barashki
Ghodsieh Zamani
author_facet Seyedeh Maryam Hosseini
Mojtaba Abrishami
Elham Barashki
Ghodsieh Zamani
author_sort Seyedeh Maryam Hosseini
collection DOAJ
description Purpose. Herein, we report a case of primary intraocular lymphoma (PIOL) with the first presentation of bilateral Epstein-Barr virus- (EBV-) associated panuveitis. Case Presentation. A 69-year-old male was referred with a three-day history of blurred vision and pain and redness in his left eye following cataract surgery. Examination revealed panuveitis, vitritis, and necrotizing retinitis with retinal hemorrhage. A month later, the right eye was also involved. Polymerase chain reaction-based analysis of the vitreous sample was positive for EBV, and cytological evaluation was compatible with the diagnosis of B-cell lymphoma. A significant improvement was observed following serial intravitreal rituximab and methotrexate injections. The central nervous system and lungs were involved after 6 months, and the patient expired despite systemic chemotherapy. Conclusion. There may be an association between EBV panuveitis and primary intraocular B-cell lymphoma.
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spelling doaj-art-ef020063526c41c0af7b311d8ef85edb2025-02-03T05:44:45ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/94961739496173Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus PanuveitisSeyedeh Maryam Hosseini0Mojtaba Abrishami1Elham Barashki2Ghodsieh Zamani3Eye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranEye Research Center, Mashhad University of Medical Sciences, Mashhad, IranPurpose. Herein, we report a case of primary intraocular lymphoma (PIOL) with the first presentation of bilateral Epstein-Barr virus- (EBV-) associated panuveitis. Case Presentation. A 69-year-old male was referred with a three-day history of blurred vision and pain and redness in his left eye following cataract surgery. Examination revealed panuveitis, vitritis, and necrotizing retinitis with retinal hemorrhage. A month later, the right eye was also involved. Polymerase chain reaction-based analysis of the vitreous sample was positive for EBV, and cytological evaluation was compatible with the diagnosis of B-cell lymphoma. A significant improvement was observed following serial intravitreal rituximab and methotrexate injections. The central nervous system and lungs were involved after 6 months, and the patient expired despite systemic chemotherapy. Conclusion. There may be an association between EBV panuveitis and primary intraocular B-cell lymphoma.http://dx.doi.org/10.1155/2021/9496173
spellingShingle Seyedeh Maryam Hosseini
Mojtaba Abrishami
Elham Barashki
Ghodsieh Zamani
Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
Case Reports in Ophthalmological Medicine
title Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
title_full Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
title_fullStr Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
title_full_unstemmed Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
title_short Primary Intraocular Lymphoma in a Patient with Bilateral Epstein-Barr Virus Panuveitis
title_sort primary intraocular lymphoma in a patient with bilateral epstein barr virus panuveitis
url http://dx.doi.org/10.1155/2021/9496173
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AT elhambarashki primaryintraocularlymphomainapatientwithbilateralepsteinbarrviruspanuveitis
AT ghodsiehzamani primaryintraocularlymphomainapatientwithbilateralepsteinbarrviruspanuveitis