DR. MOAZZAM PARVEZ

DR. MD. PARVEZ ALAM, DR.ASIM KUMAR GHOSH, DR. ZEENAL DABRE

Abstract

MALT lyphomas are often secondary to chronic inflammation and typically arise from the marginal zone of lymphoid follicle . Low grade B cell lymphomas located around the eye present unique challenges in diagnosis and treatment.

We report a classic case of primary ocular MALT in a 50 year old male patient with RE proptosis and orbital lesion which was restricting the ocular movement which developed over a period of 8 months. Best corrected visual acuity was 6/12 in the affected eye.MRI orbit revealed swelling of medial rectus muscle and periorbital soft tissue swelling.Funduscopic examination showed no significant macular changes.CT neck,chest and whole abdomen showed no signs of any metastasis.Biopsy reports confirmed the diagnosis of low grade B cell NHL.The patient was managed with local radiotherapy which showed substantial regression.

This report is a analytical overview of the case highlighting the presentation and management of the Ocular MALT.