Program Book

Washington University, St. Louis, Missouri
Purpose. This case will be presented as an unknown for discussion of
diagnosis and management.
Methods. Case presentation.
Results. This is a 65 year old Caucasian woman who presents with
a diffuse conjunctival neoplasm involving her right eye. Three years
prior to presentation, she noticed a loss of vision in her superior
visual field in the right eye but did not seek medical attention
because she was uninsured. Over the past 18 months she has noticed
that the white part of the right eye has gradually become discolored.
On examination, she had no pain. There was no light perception and
the intraocular pressure was 56 in the right eye. Anterior segment
examination revealed diffuse thickening and hypervascularity of
the conjunctiva, which had a dark gelatinous appearance with an
irregular, roughened surface. A view of the posterior segment was
precluded by a dense cataract. Ultrasonography of the right eye
revealed a total retinal detachment with diffuse thickening of the
choroid and retina but no discrete mass. An intraconal orbital mass
was also noted, which was discontinuous from the globe. The left eye
examination was unremarkable.
Conclusions. Final diagnosis and management will be discussed.
Financial disclosure. None
23 RF32
DIFFUSE CONJUNCTIVAL MALT LYMPHOMA
Shahar Frenkel, MD, PhD, Jacob Pe’er, MD
(shahar.frenkel@gmail.com)
Specialized Ocular Oncology Service, Department of Ophthalmology
Hadassah - Hebrew University Medical Center, Jerusalem, Israel
Purpose. A 40-year-old man was diagnosed as suffering from diffuse
(almost 360deg) conjunctival lymphoma of the right eye. There
was no evidence of other sites of lymphoma. He was treated via six
courses of Rituximab, with complete response. No recurrence was
seen in follow-up of four years.
Any other ideas for treatment in such a case?
Financial disclosure. None
1510 RF33
PAEDIATRIC TUMOUR WITH SCLERAL INVASION
Maria Tsimpida, Amit Arora, Victoria Cohen, Mary Lendrum, John
Hungerford(tsimpidam@yahoo.co.uk)
The Ocular Oncology Service St. Bartholomew’s and Moorfield’s Eye Hospitals
Purpose. A 15 year-old boy presented with a reddish-blue domed shaped
intrascleral lesion in the upper temporal quadrant of the right eye. There
was associated scleral thinning. A corresponding irregularly shaped, pale,
choroidal mass was noted. Cells were present in the vitreous.
Methods. B-scan ultrasonography showed an anterior choroidal mass with
internal blood flow. This was further detailed with a UBM. There was no
evidence of ocular inflammatory or systemic collagen vascular disorder.
Results. The lesion was observed, as diagnostic biopsy would be hasardous
in view of the overlying scleral thinning.A year later, the scleral nodule
Rapid Fire Cases
Abstracts
80
increased in size and the intraocular lesion had extended to involve the ciliary
body. Interestingly, a cyst was found adjacent to the ciliary body mass.
Conclusions. There was concern that this mass was a medulloepithelioma
that was invading the sclera and the patient was offered enucleation. The
surprising histopathological results are discussed.
Financial disclosure. None
1227 RF34
STEREOTACTIC-GUIDED TRANSCRANIAL CRYOEXTRACTION
OF CAVERNOUS HEMANGIOMA IN THE ORBITAL APEX
Mordechai Rosner1, Sagi Harnof2, Vicktoria (Vicky) Vishnevskia-Dai1,
Nachum Rosen1 (mrosner@post.tau.ac.il)
1. Goldschleger Eye Institute, Sheba Medical center, Sackler School of
medicine, Tel-Aviv University Israel.
2. Department of Neurosergery, Sheba Medical center, Sackler School
of medicine, Tel-Aviv University Israel.
Purpose. A 55-year old man with cavernous hemangioma at the apex of his
right eye underwent stereotactic guided transcranial cryoextraction with
favorable results.
Financial disclosure. None
1352 RF35
MYSTERIOUS ORBITAL CASE
Patrick De Potter (patrick.depotter@uclouvain.be)
Ocular Oncology Unit, Cliniques Universitaires St-Luc, Brussels, Belgium
Purpose. Presentation of a mysterious orbital lesion
Financial disclosure. None
1802 RF36
ORBITAL INVOLVEMENT FROM AN UNUSUAL CONDITION
Manquez Maria (m_manquez@yahoo.com)
Clinica Oftalmologica Pasteur, Santiago Chile
Purpose. 58-year old Hispanic male with orbital mass and unusual
liver condition
Financial disclosure. None
112 RF37
REPONSE OF METASTATIC PANCREATIC
ADENOCARCINOMA TO CHEMOTHERAPY
Scott Oliver, MD scott.oliver@ucdenver.edu)
Deparment of Ophthalmology, University of Colorado School of Medicine
Purpose. A case of pancreatic adenocarcinoma presenting with
circumpapillary choroidal metastasis will be presented. Management
options will be discussed, and dramatic response to gemcitabine and
ipilimumab will be shown.
Financial disclosure. None
127 RF38