Bilateral vision loss as the initial presentation for central nervous system involvement of mantle cell lymphoma: A case series

L Small; C Ma; M Shah; S Ramanathan; N Rasool

doi:10.1016/j.ajoc.2021.101131

Bilateral vision loss as the initial presentation for central nervous system involvement of mantle cell lymphoma: A case series

Am J Ophthalmol Case Rep. 2021 Jun 3:23:101131. doi: 10.1016/j.ajoc.2021.101131. eCollection 2021 Sep.

Authors

L Small¹, C Ma¹, M Shah², S Ramanathan¹, N Rasool^{1

2}

Affiliations

¹ Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
² Department of Neurology, University of California San Francisco, San Francisco, CA, USA.

Abstract

Purpose: Mantle cell lymphoma is a rare aggressive subtype of non-Hodgkins B cell lymphoma. It typically presents with asymptomatic monoclonal lymphocytosis, lymphadenopathy or bulky extranodal disease. Mantle cell lymphoma rarely affects the central nervous system. We present two cases in which vision loss was the initial symptom of central nervous system involvement by the malignancy.

Observations: Both patients initially received high dose intravenous steroids with notable improvement in their vision.

Conclusions and importance: Early detection and management of optic nerve infiltration by mantle cell lymphoma is essential as it improves visual outcomes and enables prompt management of the patient's systemic disease.

Keywords: Infiltrative optic neuropathy; Mantle cell lymphoma; Optic neuropathy.

Publication types

Case Reports