Lymphoproliferative disorder in a posttransplant setting has emerged as a difficult problem in
kidney transplantation (KT).
Lymphoma involving adnexa of the
eye has rarely been reported due to scarcity of lymphoreticular
tissue in the ocular area. This
report presents a case of a 37-year-old KT recipient
who was diagnosed with conjunctival
mucosa-associated lymphoid tissue lymphoma with a chief complaint of seeing black spots. Unlike other post-
transplant lymphoproliferative
diseases associated with the
Epstein-Barr virus (
EBV) reactivation via
immunosuppression, the lesion was not related to the
virus. The
patient received
radiotherapy with concomitant conversion from the
tacrolimus to the
sirolimus. Overall, the results presented herein indicate
lymphoma may be an important
differential diagnosis when KT recipients complain of ocular discomfort.