Abstract
Choroidal lymphoma classically presents with multifocal, creamy, yellow-white choroidal infiltrates associated with choroidal thickening. This study reports a case of a patient presenting with choroidal lymphoma and an associated choroidal neovascular membrane.
Purpose:A patient with choroidal lymphoma associated with a choroidal neovascular membrane (CNVM) is described.Methods:Observational case report.Results:A 70-year-old man was referred for evaluation of bilateral uveitis with concern for intraocular lymphoma. Fundoscopic examination was notable for vitreous opacities and diffuse yellow-white, creamy choroidal infiltrates in both eyes. In the left eye, areas of hemorrhage and intraretinal fluid in the macula consistent with a CNVM were noted. Multimodal imaging confirmed the diagnosis of bilateral choroidal lymphoma with a CNVM in the left eye. The patient subsequently underwent external beam radiation therapy. The CNVM was treated with intravitreal bevacizumab.Conclusion:This case highlights the rare finding of a patient with a CNVM associated with choroidal lymphoma. Recognition and treatment of concurrent disease processes in the setting of choroidal lymphoma is important to achieve maximum visual potential.