Swept Source Optical Coherence Tomography Documenting Optic Nerve Involvement in an Aggressive T-Cell Lymphoma

Layla Maris Areas; Fabio Lavinsky; Daniel Lavinsky; Rodrigo Leivas Lindenmeyer; Helena Messinger Pakter; Dayenne Helena Catelli; Alessandro Finkelsztejn

doi:10.1080/01658107.2020.1779317

Swept Source Optical Coherence Tomography Documenting Optic Nerve Involvement in an Aggressive T-Cell Lymphoma

Neuroophthalmology. 2020 Jul 22;45(3):189-192. doi: 10.1080/01658107.2020.1779317. eCollection 2021.

Authors

Layla Maris Areas^{1

2}, Fabio Lavinsky¹, Daniel Lavinsky^{1

3}, Rodrigo Leivas Lindenmeyer¹, Helena Messinger Pakter^{1

3}, Dayenne Helena Catelli⁴, Alessandro Finkelsztejn^{1

2}

Affiliations

¹ Ophthalmology Department, Hospital De Clínicas De Porto Alegre, Porto Alegre, Brazil.
² Neurology Department, Hospital De Clínicas De Porto Alegre, Porto Alegre, Brazil.
³ Federal University of Rio Grande Do Sul, Porto Alegre, Brazil.
⁴ Hematology Department, Hospital De Clínicas De Porto Alegre, Porto Alegre, Brazil.

Abstract

Peripheral T-cell lymphomas (PTCLs) are a heterogeneous group of aggressive neoplasms. The involvement of ocular structures in haematological neoplasms is rare and usually associated with central nervous system involvement, which may occur as a result of orbital invasion and optic nerve infiltration. In this case report, we describe ocular findings using the novel swept source optical coherence tomography (SS-OCT) in a case of aggressive T-cell lymphoma. SS-OCT has faster scanning speed, deeper tissue penetration due to its longer wavelength laser of 1050 nm and wider scanning areas. In the present case, SS-OCT was helpful in documenting increased retinal nerve fibre layer thickness and prelaminar protrusion associated with visual loss in a patient with an aggressive T-cell lymphoma.

Keywords: CNS lymphoma; optic nerve; optical coherence tomography.

Publication types

Case Reports