Mycosis fungoides. Intraocular and central nervous system involvement.

Daniel Albert // Publications // Apr 01 1977

PubMed ID: 849188

Author(s): Keltner JL, Fritsch E, Cykiert RC, Albert DM. Mycosis fungoides. Intraocular and central nervous system involvement. Arch Ophthalmol. 1977 Apr;95(4):645-50. PMID 849188

Journal: Archives Of Ophthalmology (Chicago, Ill. : 1960), Volume 95, Issue 4, Apr 1977

A 58-year-old man with mycosis fungoides was treated with chemotherapeutic agents and radiation for the recurrent cutaneous form of this disease. Five years after the onset, he developed blurring of vision, neurologic signs, and then lapsed into coma. Chemotherapy and radiation treatment resulted in improvement of the ocular and systemic picture. Within three months, however, the patient’s vision deteriorated and swelling of both optic discs, along with retinal and vitreous infiltrates, was noted. Local radiation of the eyes was followed by improvement of the ocular changes. Five months later the patient died. Results of a histologic examination of the eyes showed extensive involvement of the retina and vitreous by tumor cells. The CNS was remarkably free of tumor cells and it was assumed that the radiation and chemotherapy were responsible for this.