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PVRL

Introduction

A rare malignancy involving high-grade diffuse extranodal large B-cell lymphomas.
- Most commonly develops in older populations (50-60y)
- Commonly bilateral

Dead Giveaways

Diagnostic Consensus:


Uveitis Masquerade

  • PVRL will commonly masquerade as uveitis, manifesting with some conditions found in chronic uveitis

  • Some common mimicked features include the pseudohypopyon and vitreal flare

  • Flare-like
    Flare-like
  • Pseudohypopyon. Can be present in other conditions like Rb
    Pseudohypopyon. Can be present in other conditions like Rb

Differential from Uveitis

  • Anterior chamber typically doesn't show flare

  • There may be keratic precipitates but typically are not granulomatous

     By Sobolewska B. Shows small KP and large tumour cells mimicking granulomatous KP
    By Sobolewska B. Shows small KP and large tumour cells mimicking granulomatous KP
  • No synechiae forms, and thus glaucoma is mosts likely not present

  • The appearance of the fundus shows creamy subretinal infiltrates

  • Creamy Lesion
    Creamy Lesion

diagnostic features

Risk And Prognosis

  • Is non-responsive to uveitic therapy

  • Whilst 25% of primary CNS lymphoma develop PVRL, 65-90% of PVRL develop CNS complications, which can be very fatal


Features and Symptoms:

  • Decreased vision and floaters

  • Vitreous cells, choroidal/retinal infiltrates, CNS involvement

2025, made by Eric Qin. UNSW. SOVS

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