Dr.SIVADARSHAN MURALIDHARAN
Ocular involvement in systemic Non Hodgkin’s lymphoma is rare. Ocular involvement is due to secondary metastatic spread of the lymphoma in the choroid. We report a 63 year old male who came to us in 2008 with a mass on his right abdominal wall that had been gradually growing over 3 months, which was diagnosed as DLBCL, underwent 12 cycles of chemotherapy (CAV). After 7 years there was relapse in left side of neck, underwent chemotherapy. 1 year later developed multiple metastasis in the brain, underwent 10 cycles whole brain EBRT. A total of 9 years after his initial diagnosis, he presented with BE defective vision and floaters for 3 months. On examination there was coarse vitreous cells both eyes but no evidence of choroidal lesions and subsequent MRI did not reveal any new metastatic lesion in the ocular tissue/ orbits/ brain. The importance of close follow up is emphasised. Close collaboration with a pathologist and oncologist, and good communication with the patient is essential.
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