This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on ISI (6)  • Contact me when this article is cited  Related Content  • Similar articles in this journal

Arch Ophthalmol. 2002;120:508-509.

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

Conjunctival lymphoma classically presents as a salmon-colored infiltrate that evolves slowly over months to years.¹ It is nearly always of B-cell lineage.^1-2 In an analysis of ocular adnexal lymphoid tumors, 29% were polyclonal, 68% were monoclonal B-cell proliferations, 2% were indeterminate, 1% were null cell, and 0% were monoclonal T-cell proliferations.² We report an unusual case of a rapidly progressive conjunctival mass that was the first manifestation of systemic T-cell lymphoma.

Report of a Case

A 72-year-old African American woman developed swelling of her left caruncle that dramatically enlarged throughout 21 days, prompting ocular examination. Her visual acuity was 20/200 OD and counting fingers OS from cataracts bilaterally. There was a painless, pink, multinodular mass occupying 60% of the bulbar surface from the caruncle to the lateral conjunctiva, and covering half of the cornea (Figure 1). Computed tomography scans revealed preseptal soft tissue swelling without an orbital component. The patient preferred 14 . . . [Full Text of this Article]

Comment
Corresponding author: Carol L. Shields, MD, Ocular Oncology Service, Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107.