The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

a

a

Orbital lymphoma

Photo by Professor Chua Chung Nen

A 65 year-old farmer was referred from another centre for the management of a lacrimal gland tumour. The lesion was noted one year ago which grew rapidly resulting in proptosis. However, the condition was painless. His left vision was poor but there was no RAPD. Fundoscopy showed choroidal foldings.

 

CT scan showed lacrimal gland enlargement with posterior extension. There was no bony destruction. The lacrimal gland biopsy revealed low-grade small cell non-Hogdkin's lymphoma. The patient was referred to the oncologist for further staging and treatment.

 

Right non-axial proptosis with swelling in the lacrimal gland fossa.

 

Left choroidal foldings.

 

CT scan showed an anterior orbital mass involving the lacrimal gland.

 

Coronal scan showed posterior extension of the mass.

 

Firm gritty white mass infiltrating the lacrimal gland. Histology showed this to be non-Hodgkin's lymphoma.

Next Oculoplastic Case