Korean J Ophthalmol.  2014 Aug;28(4):354-355.

A Korean Woman with Reactive Lymphoid Hyperplasia of the Uvea

Affiliations
  • 1Institute of Vision Research, Department of Ophthalmology, International St. Mary's Hospital, Yonsei University College of Medicine, Incheon, Korea.
  • 2Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. sunglee@yuhs.ac

Abstract

No abstract available.


MeSH Terms

Asian Continental Ancestry Group/ethnology
Choroid Diseases/*diagnosis/drug therapy/ethnology
Female
Fluorescein Angiography
Glucocorticoids/therapeutic use
Humans
Middle Aged
Multimodal Imaging
Ophthalmoscopy
Prednisolone/therapeutic use
Pseudolymphoma/*diagnosis/drug therapy/ethnology
Republic of Korea/epidemiology
Tomography, Optical Coherence
Ultrasonography
Glucocorticoids
Prednisolone

Figure

  • Fig. 1 Fundus photography of the 50-year-old patient with reactive lymphoid hyperplasia of the uvea in the right eye (A). Fluorescence angiography showed stippled hyperfluorescence (B) with late phase staining (C). On indocyanine green angiography, retinochoroidal folds radiating from the optic nerve head were seen as hypofluorescence lines throughout examination (D,E). Spectral domain optical coherence tomography showed subretinal fluid at fovea, with undulating retina due to choroidal mass both horizontally (F) and vertically (G). Ultrasound sonography showed homogenous intraocular elevation which was acoustically empty (H), and lesion size was base 11.93 mm with height 2.71 mm. On magnetic resonance imaging of brain and orbit, the subretinal mass showed hyperintensity in T1 (I), and hypointesnity on T2 images (J). After systemic treatment with steroid for 2 weeks, choroidal elevation was improved (K). On ultrasonography, size of choroidal mass was measured as base 8.80 mm with height 1.87 mm (L).


Reference

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2. Ryan SJ, Zimmerman LE, King FM. Reactive lymphoid hyperplasia. An unusual form of intraocular pseudotumor. Trans Am Acad Ophthalmol Otolaryngol. 1972; 76:652–671.
3. Grossniklaus HE, Martin DF, Avery R, et al. Uveal lymphoid infiltration: report of four cases and clinicopathologic review. Ophthalmology. 1998; 105:1265–1273.
4. Desroches G, Abrams GW, Gass JD. Reactive lymphoid hyperplasia of the uvea: a case with ultrasonographic and computed tomographic studies. Arch Ophthalmol. 1983; 101:725–728.
5. Chang TS, Byrne SF, Gass JD, et al. Echographic findings in benign reactive lymphoid hyperplasia of the choroid. Arch Ophthalmol. 1996; 114:669–675.
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