Choroidal Folds and Orbital Lymphoma

CC is a 34-year-old man who presented to his ophthalmologist with the complaint of “a little distortion of the vision in the right eye.” Examination found best corrected vision 20/20-2 OD and 20/20 OS. No afferent pupil defect was noted and the eye appeared normal except for the presence of moderate choroidal folds. Exophthalmometry was not performed. B-scan was performed and a low reflective retrobulbar lesion was immediately detected (Fig. 27). The differential diagnosis included a cystic lesion but lymphoma could not be ruled out. The patient was referred to an orbital surgeon who performed a biopsy with a pathological diagnosis of lymphoma.