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Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 777-779

Bilateral primary intraocular lymphoma in a 24-year old pregnant woman with hepatitis C: A case report

First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital “G. Gennimatas”, Athens, Greece

Correspondence Address:
Dr. Andreas Katsimpris
First Ophthalmology Department, “G. Gennimatas” Hospital, National and Kapodistrian University of Athens, Leof. Mesogeion 154, Athens
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_27_22

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Primary intraocular lymphoma (PIOL) is a rare malignancy affecting primarily elderly patients. In this case report, we present a rare case of bilateral PIOL in a 24-year-old pregnant woman with hepatitis C. The patient presented with blurred vision and floaters in the right eye for a duration of at least 3 weeks and gradual visual loss in the left eye over the course of 14 months. Fundoscopy revealed mild vitritis in the right eye and severe vitritis in the left eye. Moreover, serological testing revealed that the patient was positive for hepatitis C. Due to high clinical suspicion, a diagnostic 23-gauge pars plana vitrectomy was performed in both eyes and cytologic evaluation of the aspirate confirmed the diagnosis of PIOL. Therefore, despite PIOL being of low prevalence, chronic persistent vitritis in young adults should raise suspicion about this malignancy.

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