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Arch Ophthalmol. 2001;119:617-620.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We describe 3 patients with multifocal, white, deep retinal lesions simulating the multiple evanescent white dot syndrome (MEWDS). The retinal lesions waxed and waned in each patient. All patients were eventually proven to have primary intraocular lymphoma. Our 3 cases expand the spectrum of unusual, recognized clinical features of primary intraocular lymphoma.

Report of Cases

Case 1

A 58-year-old man had a 1-month history of decreased visual acuity in the right eye. Ocular history included a diagnosis of possible MEWDS in the left eye. Small white dots in the retina resembling MEWDS (Figure 1A) were noted. These grew into tumor-like masses. Two years later the left eye was blind and painful; enucleation was performed and revealed intraocular large cell lymphoma with optic nerve involvement. The patient received radiation treatment to the brain and orbits. The patient first visited us with a 1-month history of worsening vision in the right eye, which had a . . . [Full Text of this Article]

Case 2

Case 3

Comment
Corresponding author and reprints: Gaurav K. Shah, MD, Barnes Retina Institute, One Barnes Hospital Plaza, East Pavilion, Suite 17413, St Louis, MO 63110 (e-mail: Shah@vision.wustl.edu).