Severe Hypotony Maculopathy in Anterior Uveitis Associated with Hodgkin Lymphoma

被引:2
|
作者
Marchese, Alessandro [1 ]
Giuffre, Chiara [1 ]
Miserocchi, Elisabetta [1 ]
Cicinelli, Maria Vittoria [1 ]
Bandello, Francesco [1 ]
Modorati, Giulio [1 ]
机构
[1] Univ Vita Salute San Raffaele, Dept Ophthalmol, IRCCS Osped San Raffaele, Milan, Italy
关键词
Hodgkin lymphoma; hypotony maculopathy; ibopamine; ocular hypotony; uveitis; OCULAR HYPOTONY; SURGERY; PATIENT;
D O I
10.1080/09273948.2019.1668952
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To describe the clinical course and management of anterior uveitis complicated by ocular hypotony associated with Hodgkin lymphoma. Design: Case report. Methods: Chart and multimodal imaging review, including ultrasound biomicroscopy, widefield fundus pictures, fundus autofluorescence, fluorescein angiography, and indocyanine green angiography. Results: A 44-year-old female with progressive visual deterioration and history of low-grade fever developed bilateral granulomatous anterior uveitis complicated by severe hypotony maculopathy, not improving with systemic and topical steroids. After starting ibopamine 2% eye drops, ocular hypotony progressively resolved with visual recovery. Histologic examination of a biopsied enlarged lymph node of the neck revealed the presence of Hodgkin lymphoma, for which the patient underwent systemic chemotherapy. Conclusion: Severe hypotony maculopathy complicating anterior uveitis can be associated with Hodgkin lymphoma. Topical ipobamine 2% was safe and effective in the treatment of ocular hypotony in this case.
引用
收藏
页码:460 / 464
页数:5
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