Primary adrenal lymphoma with choroidal metastases.

PURPOSE: To describe a 71-year-old man with bilateral primary adrenal lymphoma with metastases to the choroid.

DESIGN

Interventional case report.

METHODS

A 71-year-old man presented with decreased visual acuity in his left eye secondary to an exudative retinal detachment. Abdominal computed tomography and percutaneous biopsy revealed non-Hodgkin large-cell lymphoma involving both adrenal glands.

RESULTS

Ocular and adrenal lesions resolved after six cycles of chemotherapy with cytoxan, adriamycin, vincristine, and prednisone. Seven years after his initial diagnosis, the patient reported no recurrence of either ocular or systemic lymphoma.

CONCLUSIONS

To our knowledge, this is the first case report of bilateral primary adrenal lymphoma with apparent metastases exclusively to the eye.