Treatment of intraocular lymphoma with high-dose Ara-C

Abstract
Ocular lymphoma is an uncommon clinical entity with a propensity for intracranial extension. Palliation has been reported following radiotherapybut the ultimate prognosis is poorand significant treatment‐related morbidity is common. Recent pharmacokinetic studies have suggested that sustained therapeutic drug concentrations are achievable in cerebrospinal fluid after systemic administration of high‐dose cytosine arabinoside (Ara‐C). These data led the authors to attempt treatment of a case of recurrent ocular lymphoma with high‐dose Ara‐C. Therapeutic drug levels were documented in intraocular fluidsand prolonged objective regression of tumor was seen. Systemic high‐dose Ara‐C deserves consideration for the treatment of ocular lymphoma.