Ocular Manifestation As Earliest Presentation Of Non-Hodgkin’s Lymphoma, Mimicking Multiple Chalazia: A Rare Case Report

Abstract

Primary orbital Non-Hodgkin's lymphoma (NHL) is very rare. This 40 year old female patient presented with small multiple smooth swellings on upper and lower conjunctival fornix and in subsequent visits she develops swelling arising from both side lacrimal sac location. MRI brain and orbit suggested multiple oval shaped lesions noted at retro-bulbar , medial and lateral canthus of both eyes and periorbital area without any bony destruction. Biopsy confirmed it to be a case of primary non-Hodgkin's lymphoma. She was given 6 cycles of chemotherapy with CHOP. The patient is now asymptomatic 2 months after the last cycle of the chemotherapy.