Multimodal imaging of secondary vitreoretinal lymphoma with optic neuritis and retinal vasculitis

Multimodal imaging of secondary vitreoretinal lymphoma with optic neuritis and retinal vasculitis
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继发性玻璃体视网膜淋巴瘤伴视神经炎和视网膜血管炎的多模态成像

DOI:
10.1016/j.ajoc.2020.100696
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发表时间:
2020
影响因子:
--
通讯作者:
Ohno-Matsui Kyoko
Ohno-Matsui Kyoko
中科院分区:
--
文献类型:
--
作者:
Ishida Tomoka;Takase Hiroshi;Arai Ayako;Ohno-Matsui Kyoko

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PurposeTo报告的结果确定的多模式成像在眼睛继发性玻璃体视网膜淋巴瘤(VRL)与视神经炎和视网膜vasculitis.ObservationThe情况下,是一个71岁的妇女与继发性VRL表现出视神经炎和视网膜血管炎,在她的右眼。彩色眼底照片和荧光素血管造影显示右眼后极部视神经炎和血管炎。吲哚菁绿色血管造影显示晚期视网膜静脉壁染色。右眼眼底自体荧光表现为模糊的高自体荧光,周围为斑点状的高和低自体荧光。OCT显示视网膜均匀浸润,视网膜色素上皮(RPE)层增厚,RPE穿孔,小RPE脱层,边缘区退变的RPE层上有高反射或等反射肿块。她的左眼显示了一个退化的RPE和椭圆形的等反射病变的RPE.ConclusionThe研究结果表明,它是重要的检查边缘地区的眼睛临床诊断为VRL伴有视神经炎和视网膜血管炎的多模态成像,因为这些图像可以显示炎症的迹象,典型的VRL,包括亚RPE病变。
PurposeTo report the findings determined by multimodal imaging in an eye with secondary vitreoretinal lymphoma (VRL) with optic neuritis and retinal vasculitis.ObservationThe case was a 71-year-old woman with a secondary VRL exhibiting optic neuritis and retinal vasculitis in her right eye. Color fundus photographs and fluorescein angiograms showed optic neuritis and vasculitis in the posterior pole of the right eye. Indocyanine green angiography showed dye staining of the retinal vein walls in the late phase. Fundus autofluorescence showed fuzzy hyper-autofluorescence surrounded by mottled hyper-and hypo-autofluorescence in the right eye. OCT showed a retina with uniform infiltration and a thickened retinal pigmented epithelium (RPE) layer, perforated RPE, small RPE detachments, and hyperrefrective or isorefrective masses on the degenerated RPE layer in the marginal area. Her left eye showed a degenerated RPE and oval shaped iso-reflective lesions on the RPE.ConclusionThe findings indicate that it is important to examine the marginal areas of eyes clinically diagnosed with VRL accompanied by optic neuritis and retinal vasculitis by multimodal imaging because these images can show the inflammatory signs of typical VRL including the sub-RPE lesions.
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