Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis
Purpose. To demonstrate the importance of subretinal biopsy to reach a diagnosis when vitreous biopsy is negative or inconclusive. Methods. A 54-year-old Caucasian gentleman presented with bilateral anterior uveitis at JCUH. He initially responded to topical steroids and dilating agents. Subsequentl...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/6437603 |
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| author | A. Saad S. O. Salceanu K. Oswal A. Aboushrkh D. Hamada |
| author_facet | A. Saad S. O. Salceanu K. Oswal A. Aboushrkh D. Hamada |
| author_sort | A. Saad |
| collection | DOAJ |
| description | Purpose. To demonstrate the importance of subretinal biopsy to reach a diagnosis when vitreous biopsy is negative or inconclusive. Methods. A 54-year-old Caucasian gentleman presented with bilateral anterior uveitis at JCUH. He initially responded to topical steroids and dilating agents. Subsequently he developed bilateral panuveitis and cataract with poor response to treatment. Detailed workup had been done to rule out infectious etiology. A suspicion of lymphoma was considered and vitreous biopsy sample was taken from one eye, which was inconclusive. Then, to help with definitive diagnosis vitreous sample, subretinal aspirate and retinal biopsy were taken. Results. Subretinal aspirate revealed Aspergillus niger. Treatment was initiated accordingly. Conclusions. Subretinal aspirate and retinal biopsy can help with diagnosis of unusual clinical panuveitis like presentation. |
| format | Article |
| id | doaj-art-975b19206ef542e0a5a1e45f7a1e351c |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-975b19206ef542e0a5a1e45f7a1e351c2025-02-03T01:22:38ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302018-01-01201810.1155/2018/64376036437603Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the DiagnosisA. Saad0S. O. Salceanu1K. Oswal2A. Aboushrkh3D. Hamada4James Cook University Hospital (JCUH), Middlesbrough, UKJames Cook University Hospital (JCUH), Middlesbrough, UKJames Cook University Hospital (JCUH), Middlesbrough, UKZagazig University, Zagazig, EgyptZagazig University, Zagazig, EgyptPurpose. To demonstrate the importance of subretinal biopsy to reach a diagnosis when vitreous biopsy is negative or inconclusive. Methods. A 54-year-old Caucasian gentleman presented with bilateral anterior uveitis at JCUH. He initially responded to topical steroids and dilating agents. Subsequently he developed bilateral panuveitis and cataract with poor response to treatment. Detailed workup had been done to rule out infectious etiology. A suspicion of lymphoma was considered and vitreous biopsy sample was taken from one eye, which was inconclusive. Then, to help with definitive diagnosis vitreous sample, subretinal aspirate and retinal biopsy were taken. Results. Subretinal aspirate revealed Aspergillus niger. Treatment was initiated accordingly. Conclusions. Subretinal aspirate and retinal biopsy can help with diagnosis of unusual clinical panuveitis like presentation.http://dx.doi.org/10.1155/2018/6437603 |
| spellingShingle | A. Saad S. O. Salceanu K. Oswal A. Aboushrkh D. Hamada Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis Case Reports in Ophthalmological Medicine |
| title | Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis |
| title_full | Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis |
| title_fullStr | Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis |
| title_full_unstemmed | Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis |
| title_short | Intraocular Lymphoma or Infection? Subretinal Aspirate Confirms the Diagnosis |
| title_sort | intraocular lymphoma or infection subretinal aspirate confirms the diagnosis |
| url | http://dx.doi.org/10.1155/2018/6437603 |
| work_keys_str_mv | AT asaad intraocularlymphomaorinfectionsubretinalaspirateconfirmsthediagnosis AT sosalceanu intraocularlymphomaorinfectionsubretinalaspirateconfirmsthediagnosis AT koswal intraocularlymphomaorinfectionsubretinalaspirateconfirmsthediagnosis AT aaboushrkh intraocularlymphomaorinfectionsubretinalaspirateconfirmsthediagnosis AT dhamada intraocularlymphomaorinfectionsubretinalaspirateconfirmsthediagnosis |