A slippery slope

Andrew W Gross; Aroucha Vickers; Andrew G Lee; John J Chen; M Tariq Bhatti

doi:10.1016/j.survophthal.2018.10.006

A slippery slope

Surv Ophthalmol. 2019 Nov-Dec;64(6):884-890. doi: 10.1016/j.survophthal.2018.10.006. Epub 2018 Oct 30.

Authors

Andrew W Gross¹, Aroucha Vickers², Andrew G Lee³, John J Chen⁴, M Tariq Bhatti⁴

Affiliations

¹ McGovern Medical School, University of Texas at Houston Health Science Center, Houston, TX, USA.
² Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA.
³ Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USA; Department of Ophthalmology, UTMB, Galveston, TX, USA; UT MD Anderson Cancer Center, Texas A and M College of Medicine, Houston, TX, USA; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York City, NY, USA. Electronic address: aglee@houstonmethodist.org.
⁴ Departments of Ophthalmology and Neurology, Mayo Clinic, Rochester, MN, USA.

PMID: 30385270
DOI: 10.1016/j.survophthal.2018.10.006

Abstract

A 74-year-old woman experienced chronic painless progressive binocular horizontal diplopia for 2 years. Initial examination showed a visual acuity of 20/20 OU. External and slit lamp examination was unremarkable. Orthoptic evaluation showed an incomitant esotropia, a small vertical strabismus, and a large degree of excyclotorsion. Investigation revealed a diagnosis of diffuse large B-cell lymphoma.

Keywords: clivus; diffuse large B-cell lymphoma; diplopia; primary lymphoma; skull-base.

Publication types

Case Reports

MeSH terms

Aged
Diplopia / diagnosis
Esotropia / diagnosis
Eye Neoplasms / diagnosis*
Female
Humans
Lymphoma, Large B-Cell, Diffuse / diagnosis*
Strabismus / diagnosis