Ocular adnexal lymphoma presenting as incidental tarsal follicles

Aneesha Ahluwalia; Paula W Feng; Seth W Meskin

doi:10.1016/j.ajoc.2020.100731

Ocular adnexal lymphoma presenting as incidental tarsal follicles

Am J Ophthalmol Case Rep. 2020 May 4:19:100731. doi: 10.1016/j.ajoc.2020.100731. eCollection 2020 Sep.

Authors

Aneesha Ahluwalia¹, Paula W Feng¹, Seth W Meskin^{1

2}

Affiliations

¹ Department of Ophthalmology and Visual Science, Yale University School of Medicine, 40 Temple Street, New Haven, CT, USA.
² Eye Physicians and Surgeons, PC, 202 Cherry Street, Milford, CT, USA.

Abstract

Purpose: To report a case of ocular adnexal lymphoma presenting as asymptomatic follicles discovered incidentally on routine examination.

Observations: A 43-year-old woman presented for routine annual examination and was incidentally found to have unilateral giant follicles in the left eye inferior fornix. She denied any ocular or systemic symptoms. The remainder of the examination was unremarkable, and the patient was otherwise healthy. A conjunctival biopsy revealed a diagnosis of mucosa-associated lymphoid tissue (MALT) lymphoma. She underwent external beam radiation therapy, resulting in complete resolution of the follicles.

Conclusions and importance: Awareness of atypical presentations of conjunctival lymphoma and thorough slit lamp examinations, even on routine exams, may help expedite diagnosis and treatment.

Keywords: Conjunctival lymphoma; Follicles; Mucosa-associated lymphoid tissue (MALT) lymphoma; Ocular lymphoma.

Abstract

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