Delhi Journal of Ophthalmology

Ocular Manifestation As Earliest Presentation Of Non-Hodgkin’s Lymphoma, Mimicking Multiple Chalazia: A Rare Case Report

Pallabi Ray Chaudhuri,1 Uttam Biswas,2 Soumya Ray,1 Koushik Bose,3 Avik Dey Sarkar,4 Asim Kumar Dey,1
1 Department of Ophthalmology, Burdwan Medical College, Burdwan,West Bengal, India
2 Department of Medicine, Burdwan Medical College, Burdwan, West Bengal, India
3 Department of Pathology, Burdwan Medical College, Burdwan, West Bengal, India
4 Department of Ophthalmology, Midnapore Medical College, Midnapore, West Bengal, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Pallabi Ray Chaudhuri 
MBBS, MS (Ophthalmology) Junior Resident
Department of Ophthalmology, Burdwan Medical College & Hospital, Madurdaha, Kolkata, India.
Email: drpallabiraychaudhuri@gmail.com


Received: 31-JAN-2020 Accepted: 11-MAY-2020 Published Online: 20-DEC-2020
DOI: https://dx.doi.org/10.7869/djo.599

Abstract
Primary orbital Non-Hodgkin’s lymphoma (NHL) is very rare. This 40 year old female patient presented with small multiple smooth swellings on upper and lower conjunctival fornix and in subsequent visits she develops swelling arising from both side lacrimal sac location. MRI brain and orbit suggested multiple oval shaped lesions noted at retro-bulbar , medial and lateral canthus of both eyes and periorbital area without any bony destruction. Biopsy confirmed it to be a case of primary non-Hodgkin’s lymphoma. She was given 6 cycles of chemotherapy with CHOP. The patient is now asymptomatic 2 months after the last cycle of the chemotherapy.

Keywords :Orbital; Primary; Non-Hodgkin’s lymphoma (NHL); Chemotherapy