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

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

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Orbital lymphoma

Photo by Dr. Yew and Professor Chua

A 65 year-old man from a rural village presented with a one-year history of progressive proptosis and ptosis in the right eye. A rubbery lump can be felt in the right upper eyelid. The eye movement was limited by the mass lesion. CT scans revealed homogenous lesion in the superior orbital region. A sub-brow incision was carried out and grey mass was revealed and excised for histology. The histology showed non-Hodgkin's lymphoma. The patient was referred to the oncologist who requested MRI body scans but there was no evidence of similar lesion elsewhere. He underwent radiotherapy and chemotherapy. The lesion resolved after three months and he was currently on maintainence chemotherapy.

 

Right ptosis and proptosis.

 

The upgaze was restricted.

 

A large orbital lesion in the superior orbital region. Sagittal view.

 

Axial CT view of the lesion.

 

Coronal CT view of the lesion.

 

Mass revealed via a sub-brow incision.

 

Resolution of the mass after combined chemo- and radiotherapy.

Atlas of Oculoplastic Surgery