Candy Cane Hypopyon Secondary to Intraocular Mantle Cell Lymphoma: A Case Report.

IF 0.5 Q4 OPHTHALMOLOGY Case Reports in Ophthalmology Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.1159/000541413

Fatima Babiker, Avery Zhou, Ploysai Rujkorakarn, Andrew M Philip, Tate Valerio, Yasmin Massoudi, Stephen D Anesi, C Stephen Foster

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Abstract

Introduction: Bilateral hemorrhagic hypopyon, also known as candy cane hypopyon, is an extremely rare presentation which we report as a unique case in association with intraocular mantle cell lymphoma (MCL).

Case presentation: A 63-year-old white male presented with a 3-week history of conjunctival injection OS that was unresponsive to erythromycin ointment and topical steroids, in the setting of recently discovered diffuse lymphadenopathy and malaise. On presentation, he was found to have bilateral hemorrhagic hypopyon. Lymph node biopsy was diagnostic of MCL, and subsequent anterior chamber paracentesis confirmed intraocular MCL. The patient was put into remission with intravitreal rituximab injections, systemic chemotherapy, and external beam radiation.

Conclusion: Cases of MCL with ocular involvement typically involve ocular adnexal structures, and seldom involve the uvea. Furthermore, this patient represents an extremely unusual case in his presentation with a hemorrhagic hypopyon.

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继发于眼内套细胞淋巴瘤1例。

简介：双侧出血性垂体后半胱癌，也被称为甘蔗糖垂体后半胱癌，是一种极其罕见的表现，我们报告了一个与眼内套细胞淋巴瘤（MCL）相关的独特病例。病例介绍：一名63岁白人男性，最近发现弥漫性淋巴结病和不适，有3周结膜注射OS史，红霉素软膏和局部类固醇无反应。在就诊时，他被发现有双侧出血性垂体。淋巴结活检诊断为MCL，随后前房穿刺证实为眼内MCL。患者通过玻璃体内注射利妥昔单抗、全身化疗和外束放疗进入缓解期。结论：MCL伴眼部受累主要累及眼附件结构，很少累及葡萄膜。此外，这个病人在他的表现中表现出出血性垂体后叶是一个非常不寻常的病例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.