“…The importance of the study was that the detected types were the same in (23). In addition, the presence of EBV has been convincingly demonstrated in lymphocytic infiltrations of conjunctiva (24,25). However, to our knowledge, there have been no reports linking EBV with pterygium.…”
Up to now, HPV has been blamed as the major viral pathogen in the etiopathogenesis of pterygium. The current results suggest that EBV may also be involved in the pathogenesis of pterygium, but further larger studies with larger cohorts are required to confirm this hypothesis.
“…The importance of the study was that the detected types were the same in (23). In addition, the presence of EBV has been convincingly demonstrated in lymphocytic infiltrations of conjunctiva (24,25). However, to our knowledge, there have been no reports linking EBV with pterygium.…”
Up to now, HPV has been blamed as the major viral pathogen in the etiopathogenesis of pterygium. The current results suggest that EBV may also be involved in the pathogenesis of pterygium, but further larger studies with larger cohorts are required to confirm this hypothesis.
“… 4 , 5 A few case reports also described the possibility of an orbital involvement. 6 , 7 In the literature, posterior involvement includes vitritis, 8 , 9 subretinal masses 5 , 10 and optic disc swelling. 5 , 10 , 11 …”
Purpose
Post-transplant lymphoproliferative disorder (PTLD) represents a spectrum of disorders associated with Epstein Barr Virus infection in up to 80% of cases in the setting of pharmacologic immunosuppression following hematopoietic stem cell or solid organ transplantation. Ocular involvement is a rare finding in PTLD.
Observation
We report the case of a 38-year-old man who presented with unilateral retinal infiltrates as first manifestation of PTLD relapse. Diagnosis relied on the presence of EBV DNA in anterior chamber fluids and vitrectomy that showed the presence of a B cell clone. Systemic relapse of PTLD was detected 12 weeks after retinal findings. Treatment of ocular disease included systemic injections of rituximab and intravitreal injections of methotrexate, halting the extension of retinal infiltrates.
Conclusion
Ocular involvement in PTLD is rare and needs to be acknowledged because it can precede a systemic relapse of the hematological condition.
“…Although PTLD is one of the most common conditions occurring after solid organ transplantation, ocular PTLD is very rare with only 19 cases reported in the literature (Table I). Bilateral involvement occurred in around half of the cases [1,4,[9][10][11][12][13]15]. The time interval from transplantation to ocular PTLD varied from 3 months to 10 years.…”
We reported a rare case of intraocular post-transplant lymphoproliferative disorder (PTLD) arising in a 3-year-old liver transplant recipient who had a prior history of systemic PTLD. The first PTLD entered remission after treatment with intravenous rituximab and withdrawal of immunosuppressants. One year after remission, she presented with granulomatous uveitis and iris nodules in the right eye. Iris biopsy confirmed recurrence of intraocular PTLD, which resolved completely after a second course of intravenous rituximab.
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