Abstract Ocular involvement and visual symptoms from non-Hodgkin's lymphoma may occur from direct tumor involvement of the iris, choroid, retina, vitreous, and optic nerves.1 We describe visual loss due to retinopathy resulting from renovascular hypertension in a patient with renal artery stenosis due to non-Hodgkin's lymphoma. Report of a Case. —A 19-year-old white man had intermittent headaches for 2 months and painless, progressive visual loss for 10 days in his right eye. Stage IV highgrade non-Hodgkin's lymphoma was diagnosed 2 years earlier following a right hemicolectomy for a cecal mass. The patient received chemotherapy. Six months later he had an autologous bone marrow transplant after a preparative regimen of high-dose cyclophosphamide and total-body irradiation (12 Gy). He had no spot radiation to the kidneys and was disease free for 18 months subsequent to the transplant. He had no history of ocular problems or hypertension.Best corrected visual acuities were 20/800 References 1. Kay MC. Optic neuropathy secondary to lymphoma . J Clin Neuro Ophthalmol . 1986;6:31-34.
Archives of Ophthalmology – American Medical Association
Published: Aug 1, 1992