Evidence map›Paper›PMID 34635180›Full record

ArticleInternational journal of retina and vitreous2021

Diagnostic retinal biopsy in the management of secondary non-CNS vitreoretinal lymphoma masquerading as viral retinitis: a case report.

Aditya Rali, Lucy T Xu, Caroline Craven, Jonathon B Cohen, Steven Yeh, Hans E Grossniklaus, Ghazala D O'Keefe

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Intraocular Lymphoma: A Review.Journal of ophthalmic & vision research · 2025
    Review
  3. Review
  4. Article
  5. Multimodal diagnostic imaging in primary vitreoretinal lymphoma.International journal of retina and vitreous · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Aditya RaliDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Lucy T XuDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Caroline CravenDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Jonathon B CohenDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Steven YehDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Hans E GrossniklausDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA.
Ghazala D O'KeefeDepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USA. g.d.okeefe@emory.edu.ORCID http://orcid.org/0000-0002-5641-4195
Emory University · US

Funding

Pathogenesis of Uveitis in Ebola Virus Disease SurvivorsR01EY029594 · NEI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI YEH, STEVEN · 2019 to 2023
$2.9M
NEI NIH HHS R01 EY029594
6 · The paper itself

Abstract

backgroundIntraocular lymphoma accounts for fewer than 1% of intraocular tumors. When the posterior segment is involved, it can be further classified as vitreoretinal or choroidal lymphoma. Vitreoretinal lymphoma (VRL) can rarely masquerade as an infectious retinitis making diagnosis and management challenging.

resultsA 73-year-old woman with a history of non-central nervous system (CNS) involving diffuse large B-cell lymphoma (DLBCL) was referred for worsening blurry vision-visual acuity of count figures at 2 ft-in her right eye for 8 months. Dilated fundus examination of the right eye was significant for retinal whitening and dot-blot hemorrhages, which was concerning for a viral retinitis and guided initial management. Secondary intraocular lymphoma was also considered. The retinal disease continued to progress despite intravitreal and systemic antiviral therapy, and a diagnostic vitrectomy was inconclusive. A retinal biopsy was then performed, which showed DLBCL, confirming a diagnosis of secondary VRL. Three subsequent treatments with intravitreal methotrexate led to regression of the VRL.

conclusionsOur case highlights the utility of a retinal biopsy after an inconclusive diagnostic vitrectomy in a challenging scenario of VRL to establish a diagnosis and initiate successful treatment. A multidisciplinary team of providers was essential for diagnosis, comprehensive workup, medical and surgical management of the patient.

Indexed as

BiopsyDiffuseIntraocular lymphomaLarge B-CellLymphomaRetinaRetinitisVitrectomyVitreoretinal surgery

Identifiers

PMID34635180
PMCPMC8507152
OpenAlexW3207179385

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.