Identifier |
walsh_2013_s1_c3 |
Title |
Some Orbital Confusion |
Creator |
Steven A. Newman, MD, University of Virginia School of Medicine, David T. Bourne |
Subject |
Orbit; Marginal Zone Lymphoma; IGH-PCR; Immunohistochemistry |
History |
In September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D). |
Pathology |
Review of the original orbital pathology failed to confirm malignancy and a repeat orbital biopsy was planned. |
Disease/Diagnosis |
Persistent and recurrent low grade B cell lymphoma (marginal zone) demonstrated by gene rearrangement studies. |
Clinical |
Acuity was 20/25. 24-2 demonstrated moderate diffuse depression OD > OS, and some arcuate VF changes OS. Palpebral fissures were 13 and 10 with an upper lid range of 15 and 12. Hertels 28/19 with some resistance to retropulsion. There was no APD, but definite limitation in elevation > abduction, adduction, and depression OD with 100 seconds stereopsis. Applanation tensions were 16 and 12. OCT demonstrated minimal thinning of NFL superiorly and nasally, but symmetric OU. CT scan (A,B) demonstrated R orbital pathology. |
Presenting Symptom |
A 64 year old gentleman was referred for progressive horizontal diplopia. |
Neuroimaging |
Flow Cytometry |
Treatment |
Chlorambucil |
Date |
2013-02-10 |
References |
Attached |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
45th Annual Frank Walsh Society Meeting |
Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
Holding Institution |
North American Neuro-Ophthalmology Association (NANOS), Copyright 2013. For further information regarding the rights to this collection, please visit http://library.med.utah.edu/NOVEL |
ARK |
ark:/87278/s6jt2n0c |
Contributor Primary |
Bruce, Beau B |
Contributor Secondary |
Phillips, Paul H |
Setname |
ehsl_novel_fbw |
ID |
179170 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6jt2n0c |