Evidence map›Paper›PMID 35461303›Full record

ArticleJournal of medical case reports2022

Management of primary choroidal lymphoma presenting as extensive serous retinal detachment and salmon patch of bulbar conjunctiva: a case report.

Zahra Mahdizad, Elias Khalili Pour, Mohammadreza Mehrabi Bahar, Amirreza Esfandiari, Babak Masoomian, Hamid Riazi-Esfahani, Ahmad Mirshahi, Fariba Ghassemi

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Intraocular Lymphoma: A Review.Journal of ophthalmic & vision research · 2025
    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

8 authors at 1 institution in 1 country.

Zahra MahdizadRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Elias Khalili PourRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza Mehrabi BaharRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Amirreza EsfandiariRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Babak MasoomianRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Hamid Riazi-EsfahaniRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran. hamidriazi@gmail.com.ORCID http://orcid.org/0000-0003-2277-398X
Ahmad MirshahiRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Fariba GhassemiRetina Service, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Farabi Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe describe the outcome of ultra-low-dose radiotherapy plus intravitreal methotrexate and rituximab injections for a patient with primary choroidal lymphoma who presented with nodular conjunctival salmon patches and extensive serous retinal detachment. CASE PRESENTATION: A 34-year-old Iranian man presented with a nodular patch of bulbar conjunctiva in the right eye, and 1+ vitritis. A nearly complete shallow serous retinal detachment, retinal folds, and multifocal yellow choroidal infiltrates were seen during a fundus examination of the right eye. Enhanced depth imaging optical coherence tomography revealed macular retinal folds and an uneven, undulating, "seasick" appearance of the choroidal surface with choriocapillaris compression, intraretinal and subretinal fluid, and clusters of optically dense material at the outer retinal level. An incisional biopsy of the conjunctival lesion confirmed the diagnosis of primary choroidal lymphoma with epibulbar involvement. The patient was treated with ultra-low-dose "boom-boom" radiation (4 Gy delivered in two fractions over two consecutive days) as well as intravitreal methotrexate and rituximab injections. After a year, the lesions had completely disappeared, with no adverse effects or recurrence.

conclusionUltra-low-dose (boom-boom) radiotherapy combined with intravitreal chemotherapy and/or immunotherapy may be an effective treatment for primary choroidal lymphoma with anterior epibulbar extension and diffuse subretinal fluid with favorable response and minimal side effects.

Indexed as

LymphomaRetinal DetachmentAdultAnimalsConjunctivaFluorescein AngiographyHumansIranMaleMethotrexateRituximabSalmonTomography, Optical CoherenceMethotrexateRituximabLymphomaMarginal zone B-cell lymphoma radiotherapyReactive lymphoid hyperplasiaUveal neoplasms

Identifiers

PMID35461303
PMCPMC9035257
OpenAlexW4224315356

What OpenQuestion holds

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Registered trials

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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.