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Ocular Lymphoma

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Very rarely, lymphoma begins inside the eyes. Intraocular lymphomas are typically a type of non-Hodgkin lymphoma. Often, they are associated with central nervous system lymphoma and may appear as a mild, chronic inflammation inside the eye.

Eye lymphomas may spread to the brain and often spread before a diagnosis. Our comprehensive diagnostic process gives you a full and accurate determination of your health.

Why Choose Sylvester Comprehensive Cancer Center?

Ocular chemotherapy experts. The Sylvester-Bascom Palmer partnership allows precision chemotherapy treatment. Our expertise with injecting chemotherapy directly into the eye to treat cancer makes your treatment more effective and creates far fewer side effects.

More experience treating ocular lymphoma. You receive care from a team of the nation’s leading cancer and eye care providers, with no unnecessary delays caused by misdiagnosis.

Coordinated diagnosis. Because our surgeons and cellular experts (pathologists) work together, you receive an accurate interpretation of biopsies or test results the first time. This means improved accuracy and better treatment outcomes.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments


Each case is reviewed by our multidisciplinary team of eye cancer experts. Your team of specialists checks your test results to create a personalized treatment plan. Your plan may include a combination of the following treatment options:

  • External Beam Radiation Therapy

    Intensity modulated radiation therapy (IMRT) delivers advanced external beam radiation therapy that allows our radiation specialists to tailor radiation doses to the exact three-dimensional shape of a tumor. This technology is ideal for irregularly shaped tumors like intraocular tumors.

    • IMRT minimizes the amount of radiation affecting the surrounding healthy tissue. It is often used for intraocular lymphoma, orbital lymphoma, and lymphomas of the tear glands and eyelids.
    • Treatment is usually given only to both eyes to help prevent lymphoma from spreading or to destroy cancer cells already be there.
  • Chemotherapy

    Chemotherapy drugs are given through a vein, directly into the cerebrospinal fluid or directly into the eye. The choice depends on the severity of the cancer. If administered into the eye, this targets higher doses of the drug to the tumor. Radiation therapy may be used at the same time for a stronger effect.

  • Immunotherapy / Biologic Therapy

    Also called biologic therapy, immunotherapy boosts the body's natural defenses to fight the tumor. One type, monoclonal antibodies, may be given directly into the eye. The best combination and dosage of drugs depends on what type of lymphoma you have. Rituximab is the most common immunotherapy used for treating non-Hodgkin lymphoma.


Tests


During an eye exam, your doctor will ask about your symptoms and may check your vision and eye movements with an indirect ophthalmoscope (an instrument with a light and a small magnifying lens). If lymphoma is present, the vitreous (the jelly-like substance that fills most of the inside of the eye) may be cloudy.

Imaging tests used for diagnosing intraocular lymphoma can include:

  • Ultrasound

    This test is usually done to determine the size, shape, and location of the tumor. Sylvester has state-of-the-art ultrasound machines with dedicated highly trained ultrasound technicians. Working with Bascom Palmer eye experts, they produce fast, accurate diagnostic results.

  • Magnetic Resonance Imaging (MRI) Scan

    An MRI of the head allows us to see inside the eye and to look for lymphoma in the brain or meninges (thin tissues covering the brain and spinal cord). If cancer is seen in the meninges, it can indicate a central nervous system lymphoma.

  • Positron Emission Tomography (PET) Scan

    PET scans help us determine if the lymphoma has spread to the lymph nodes or to other parts of the body.

  • Computerized Tomography (CT) Scan

    X-rays take a series of pictures of the inside of your eye and surrounding structures. These images are then combined by a computer, giving clear 3-D images of the area.

  • Biopsy

    Symptoms and tests might suggest you have intraocular lymphoma, but a biopsy is usually needed to confirm the diagnosis. An ophthalmologist often will perform a vitrectomy for a biopsy. Under local or general anesthesia, the doctor takes a sample of the vitreous gel from inside the eye. The cells in the biopsy sample are sent to a lab to be examined under a microscope and tested for signs of lymphoma.

    Non-Hodgkin lymphoma is the most common primary orbital cancer and of the adjacent parts of the eye. The most frequently altered gene responsible for this condition is called MYD88. Studying this gene can tell us how aggressive your tumor might be and its most effective treatments.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care