SURGICAL APPROACH TO SUBRETINAL WASHOUT BIOPSY FOR PRIMARY VITREORETINAL LYMPHOMA.
Jordan V Chervenkoff, Giancarlo Dell'Aversana Orabona, Edward Pringle et al.
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Case in brief
A patient presented with primary vitreoretinal lymphoma (PVRL) that mimicked vitritis and included subretinal lesions. A combined approach of anterior chamber tap, dry vitreous biopsy, and subretinal washout was utilized for diagnosis. Cytological analysis revealed a clonal B-cell population, and the patient showed significant visual improvement to 6/7.5 at three months post-procedure.
What made this case unusual
The use of subretinal washout and aspiration in conjunction with standard vitreous biopsy for diagnosing PVRL is noteworthy, as it may enhance diagnostic sensitivity.
Diagnostic / clinical pearl
Clinicians should consider subretinal fluid aspiration in cases of suspected PVRL with subretinal lesions to improve diagnostic accuracy.
Why it matters
This case highlights the importance of prompt diagnosis and intervention in PVRL, which can significantly impact visual outcomes.