METASTATIC ANTERIOR-CHAMBER NON-HODGKIN-LYMPHOMA IN A PATIENT WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME

PURPOSE: To alert ophthalmologists to the possibility of metastatic an terior chamber intraocular non-Hodgkin lymphoma in patients with acqui red immunodeficiency syndrome (AIDS), METHODS: We examined a 19-year-o ld man with AIDS who had an anterior uveitis with pseudohypopyon and a history of 2 months of malaise. A specimen of the lesion was obtained with a 25-gauge needle for pathologic examination. RESULTS: Systemic exploration showed hepatomegaly. Abdominal computed tomography showed multiple lesions in the liver and spleen, Fine-needle aspiration discl osed a high-grade non-Hodgkin lymphoma. The result of a fine-needle as piration obtained from a lesion in the anterior chamber was consistent with the same diagnosis. CONCLUSION: An anterior chamber pseudohypopy on with uveitis can be the manifesting sign of a systemic lymphoma in a patient with AIDS and requires a thorough systemic evaluation.