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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-05-2019 | Lymphoma | Oncology

Risk factors for failure of vitrectomy cell block technique in cytological diagnosis of vitreoretinal lymphoma

Authors: Takako Ito, Atsunobu Takeda, Kohta Fujiwara, Eiichi Hasegawa, Shintaro Nakao, Yoshihiro Ohishi, Yoshinao Oda, Hiroshi Yoshikawa, Koh-Hei Sonoda

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2019

Abstract

Purpose

To determine the factors that may affect the accuracy of vitrectomy cell block technique in detecting atypical lymphoid cells in patients with vitreoretinal lymphoma (VRL).

Methods

We retrospectively reviewed 43 eyes in 39 patients who underwent vitrectomy for definitive histological diagnosis of VRL with vitrectomy cell block technique and/or smear preparation at Kyushu University Hospital from January 2001 to March 2016. The association of detection of atypical lymphoid cells using vitrectomy cell block technique with the following factors was assessed using logistic regression analysis: age at diagnosis, sex, presence or absence of concurrent cataract surgery with vitrectomy, clinical grading of vitreous haze, presence or absence of subretinal tumor infiltration, interval between initial symptoms and vitrectomy, and presence or absence of systemic corticosteroid therapy before vitrectomy.

Results

Atypical lymphoid cells were more significantly detected using vitrectomy cell block technique compared to that using smear preparation (p = 0.018). After adjusting for age and sex, concurrent cataract surgery (odds ratio [OR], 10.41; 95% confidence interval [CI], 1.42–76.41) and subretinal tumor infiltration (OR, 5.06; 95% CI, 1.06–24.32) were significantly associated with failure of histological analysis with vitrectomy cell blocks. In multivariable logistic regression analysis, similar results were obtained, although subretinal tumor infiltration was only marginally associated with the detective capability of the technique.

Conclusion

Vitrectomy cell block technique significantly improved the definitive diagnosis of VRL. Concurrent cataract surgery with vitrectomy and subretinal tumor infiltration were risk factors for failure in vitrectomy cell blocks.

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Title: Risk factors for failure of vitrectomy cell block technique in cytological diagnosis of vitreoretinal lymphoma
Authors: Takako Ito
Atsunobu Takeda
Kohta Fujiwara
Eiichi Hasegawa
Shintaro Nakao
Yoshihiro Ohishi
Yoshinao Oda
Hiroshi Yoshikawa
Koh-Hei Sonoda
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Keywords: Lymphoma
Cataract
Vitrectomy
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2019
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-019-04266-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for failure of vitrectomy cell block technique in cytological diagnosis of vitreoretinal lymphoma

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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