Abstract

Primary vitreoretinal lymphoma (PVRL) is a rare entity and is considered a part of central nervous system lymphoma. PVRL most commonly occurs as diffuse large B cell lymphoma with a high rate of CNS recurrence. We present here a case of a 61-year-old male who initially presented with progressive visual loss. Imaging demonstrated an intraocular soft tissue mass with no other foci. The biopsy was suggestive but not conclusive of B cell lymphoma. The patient proceeded to enucleation. Microscopy showed an atypical lymphoid proliferation with lymphoid follicles and distorted germinal centres.

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