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 Professor Chua Chung Nen

This 3 year-old boy presented with an acute onset bilateral proptosis and bilateral temporal fossa fullness. An urgent CT scan revealed bilateral orbital masses. The peripheral blood film showed blast cells consistent with lymphoma. He was started on chemotherapy.

 

Bilateral proptosis and temporal fossa fullness (Left > right).

 

Lateral view of the proptosed right eye.

 

CT scan revealed bilateral orbital lesions with temporal fossa involvement.

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