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Case Reports in Ophthalmological Medicine
Volume 2011 (2011), Article ID 329857, 4 pages
http://dx.doi.org/10.1155/2011/329857
Case Report

Masquerade Syndrome of Multicentre Primary Central Nervous System Lymphoma

1Department of Ophthalmology, University of Bari Medical School, 70124 Bari, Italy
2Department of Pathology, University of Bari Medical School, 70124 Bari, Italy
3Department of Internal Medicine and Clinical Oncology, University of Bari Medical School, 70124 Bari, Italy
4Department of Ophthalmology and Otolaringology, University of Bari, 70124 Bari, Italy

Received 5 November 2011; Accepted 11 December 2011

Academic Editor: C. J. MacEwen

Copyright © 2011 Silvana Guerriero et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. In Italy we say that the most unlucky things can happen to physicians when they get sick, despite the attention of colleagues. To confirm this rumor, we report the sad story of a surgeon with bilateral vitreitis and glaucoma unresponsive to traditional therapies. Methods/Design. Case report. Results. After one year of steroidal and immunosuppressive therapy, a vitrectomy, and a trabeculectomy for unresponsive bilateral vitreitis and glaucoma, MRI showed a multicentre primary central nervous system lymphoma, which was the underlying cause of the masquerade syndrome. Conclusions. All ophthalmologists and clinicians must be aware of masquerade syndromes, in order to avoid delays in diagnosis.