Table 1. Clinical summary of patients presentations and investigative work.
Patient number | 1 | 2 | 3 | 4 | 5 |
---|---|---|---|---|---|
Age at presentation | 71 years | 71 years | 70 years | 18 years | 76 years |
Ophthalmic presentation | Right granulomatous uveitis, progressing to bilateral vitritis | Left vitritis/vitreous infiltrate | Right granulomatous vitritis | Left hypopyon uveitis, haemorrhagic focal chorioretinitis at macula | Bilateral vitritis/vitreous infiltrate |
Systemic presentation | Nil | Nil | Nil | Nil | Nil |
Relevant past ocular and medical history | Pernicious anaemia | Type 2 diabetes mellitus | Hodgkin's lymphoma—in remission for 2 years | Nil | Testicular B-cell lymphoma |
Investigations before diagnostic vitrectomy | Bloods and CXR—nil significant | Bloods and CXR—nil significant | Bloods & CXR—nil significant | Bloods, blood cultures, sputum cultures, CXR, abdominal US,-all nil significant | None |
Treatment(s) before vitrectomy | Topical steroids & ocular antihypertensives Bilateral orbital floor steroid injections | None | None | None | None |
Clinical diagnosis/suspicion | Idiopathic chronic vitritis | Intraocular lymphoma | Intraocular lymphoma | Endogenous fungal endophthalmitis | Intraocular lymphoma |
Indication for vitrectomy | Exclude lymphoma | Exclude lymphoma | Exclude lymphoma | Investigate possible infective aetiologies | Exclude lymphoma |
Interval from presentation to vitrectomy | 8 months | 2 months | 1 month | 2 days (initially refused all treatment) | 1 month |
Intra-operative complications | None | None | Retinal tear | Giant retinal tear | None |
Postoperative complications | None | None | None | None | None |
Investigations on vitrectomy specimen | Histopathology, PCR TEM | Histopathology microbiology PCR | Histopathology PCR | Histopathology, microbiology, PCR TEM | Histopathology PCR |
Abbreviations: CXR, chest X-ray; PCR, polymerase chain reaction; TEM, transmission electron microscopy; US, ultrasound.