Perineuritis or infiltration of optic nerve sheath? A presentation of diffuse large B cell Gastric lymphoma.

Phuljhele, Swati; Agarwal, Divya; Ramteke, Prashant; Shashni, Adarsh; Sharma, Pradeep; Ramteke, Prashant P

Optic perineuritis is an inflammatory disorder involving the optic nerve sheath. It is currently considered as a part of idiopathic orbital inflammatory disease which also includes dacryoadenitis, orbital myositis, superior orbital fissure, and cavernous sinus syndrome (Tolosa hunt syndrome). As it is idiopathic, it is considered a diagnosis of exclusion. Another important differential is optic nerve lymphoma. Isolated optic nerve lymphoma associated with systemic involvement has been described in literature. We report a case that presented as third nerve palsy but later on developed central retinal vein occlusion and was ultimately diagnosed as primary gastric lymphoma of diffuse large B cell type.

TOULOUSE (France); DIFFUSE large B-cell lymphomas; OPTIC nerve; RETINAL vein occlusion; B cells; CAVERNOUS sinus; STOMACH tumors; TOLOSA-Hunt syndrome; MAGNETIC resonance imaging; LYMPHOMAS

Indian Journal of Ophthalmology, 2020, Vol 68, Issue 6, p1212

0301-4738

Academic Journal

10.4103/ijo.IJO_711_19