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- Title
Ophthalmic Rosai-Dorfman disease: a multi-centre comprehensive study.
- Authors
Alzahem, Tariq A.; Cruz, Antonio Augusto; Maktabi, Azza M. Y.; Chahud, Fernando; Alkatan, Hind
- Abstract
<bold>Background: </bold>To provide basic demographic information and clinicopathologic features of ophthalmic Rosai-Dorfman disease (RDD) with a literature review.<bold>Methods: </bold>A multi-centre retrospective case series reviewing all patients with histopathologically confirmed ophthalmic RDD at three tertiary eye care centres between January 1993 and December 2018.<bold>Results: </bold>Eleven eyes of eight patients with histopathologically confirmed ophthalmic RDD were included, with equal numbers of males and females. The median age was 40.25 years (range: 26.6-72.4). Two patients had familial RDD. The orbit was the most commonly involved site (90.9% eyes). One patient (one eye) presented with a scleral nodule, anterior uveitis and cystoid macular oedema. Visual acuity ranged from 20/25 to light perception. Six patients had an extra-nodal ophthalmic disease, and the remaining two had an associated submandibular lymphadenopathy (nodal RDD).<bold>Conclusions: </bold>Ophthalmic RDD can be the only manifestation of this systemic disease, with the orbit being the most commonly involved site, exhibiting bone destruction, intracranial and/or sinus involvement and variable degree of visual loss. Ophthalmic familial RDD represent a severe form with a malignant course. Steroid monotherapy may be inadequate to control orbital RDD; thus, combined treatment is usually necessary. A comprehensive approach to assessment and management is recommended.
- Subjects
NON-langerhans-cell histiocytosis; IRIDOCYCLITIS; MACULAR edema; EYE care; VISUAL acuity; EYE; LITERATURE reviews; EYE-sockets
- Publication
BMC Ophthalmology, 2021, Vol 21, Issue 1, p1
- ISSN
1471-2415
- Publication type
journal article
- DOI
10.1186/s12886-021-02173-1