Consensus Recommendations for the Diagnosis of Vitreoretinal Lymphoma

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Abstract

PURPOSE: To provide recommendations for diagnosis of vitreoretinal lymphoma (VRL).

METHODS: Literature was reviewed for reports supporting the diagnosis of VRL. A questionnaire (Delphi 1 round) was distributed to 28 participants. In the second round (Delphi 2), items of the questionnaire not reaching consensus (75% agreement) were discussed to finalize the recommendations.

RESULTS: Presenting symptoms include floaters and painless loss of vision, vitreous cells organized into sheets or clumps. Retinal lesions are usually multifocal creamy/white in the outer retina. Other findings include retinal lesions with "leopard-skin" appearance and retinal pigment epithelium atrophy. Severe vitreous infiltration without macular edema is the most likely presentation. Diagnostic vitrectomy should be performed. Systemic corticosteroid should be discontinued at least 2 weeks before surgery. An interleukin (IL)-10:IL-6 ratio > 1, positive mutation for the myeloid differentiation primary response 88 gene and monoclonality are indicators of VRL. Multi-modal imaging (optical coherence tomography, fundus autofluorescence) are recommended.

CONCLUSIONS: A consensus meeting allowed the establishment of recommendations important for the diagnosis of VRL.

Translated title of the contributionConsenso de Recomendaciones para el Diagnóstico de Linfoma Vitreoretiniano
Original languageEnglish (US)
Pages (from-to)507-520
Number of pages14
JournalOcular Immunology and Inflammation
Volume29
Issue number3
DOIs
StatePublished - May 19 2021

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