Vitreoretinal Lymphoma Presenting as Frosted Branch Angiitis in a Patient With Diffuse Large B-Cell Lymphoma
Purpose: To describe the evaluation, diagnosis, and treatment of vitreoretinal lymphoma presenting as frosted branch angiitis in a patient with diffuse large B-cell lymphoma (DLBCL).
Observations: A 57-year-old woman with a history of non-Hodgkin lymphoma and recent DLBCL relapse presented with frosted branch angiitis that raised suspicion for an infectious retinitis but was found to be vitreoretinal lymphoma.
Conclusions and Importance: This case primarily highlights the importance of considering vitreoretinal lymphoma on the differential diagnosis of etiologies of frosted branch angiitis. Despite suspicion for vitreoretinal lymphoma, it is also important to treat empirically for infectious etiologies of retinitis in cases of frosted branch angiitis. In this case where the diagnosis was ultimately vitreoretinal lymphoma, weekly alternating intravitreal injections of methotrexate and rituximab led to improvement in visual acuity and retinal infiltration.
Anderson, Tomas; Miller, Charles G.; Xia, Tian; Pulido, Jose S.; Brucker, Alexander J.; and Maguire, Albert M., "Vitreoretinal Lymphoma Presenting as Frosted Branch Angiitis in a Patient With Diffuse Large B-Cell Lymphoma" (2023). Wills Eye Hospital Papers. Paper 184.
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This article is the author's final published version in the American Journal of Ophthalmology Case Reports, Volume 30, June 2023, Article number 101838.
The published version is available at https://doi.org/10.1016/j.ajoc.2023.101838. Copyright © 2023 The Authors. Published by Elsevier Inc.