Case report of ring ciliary body and choroidal lymphoma

Abstract

PurposeThe aim of the study was to analyze case of ring ciliary body and choroidal lymphoma.MethodsRetrospective analysis.Results54 years old man was sent in October 2014 to Department of Ophthalmology of the Jagiellonian University Medical College in Cracow with diagnosis of choroidal melanoma in left eye. Tumor was detected accidently. BCVA in both eyes was 1.0. Intraocular pressure in both eye was correct. In patients history stomach lymphoma treated in 1996 with radiotherapy and chemiotherapy. In fundus examination we found mass located temporally in choroid and cilary body. Ultrasound examination (USG and UBM) showed ciliary body and choroidal mass located between 2 and 7 clock hour (almost 180 degrees), thickness 8.2 mm, base 14.30 mm. The patient was qualified to biopsy of ciliary body and choroidal mass and I‐125 brachytherapy. During 2 weeks tumor enlarged, was located in 270–300 degrees and looks like ciliary body ring melanoma (thickness 9.0 mm, base 23.3 mm) with iris elevation and conjunctival edema. Enucleation of left eyeball was performed. Histopathological examination reveled neoplasma malignum probabiliter non epitheliale. Lypmoma malignum – marginal zone lymphoma. Immunohistochemical profile of tumor showed experesion CD20+, CD5‐, CD23‐, CD3‐, lack of expression lambda gains.ConclusionsLypmoma malignum – marginal zone lymphoma may occur like ciliary body and choroidal ring which should be considered in the differential diagnosis of intraocular tumors.