{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:35:14Z","timestamp":1786739714349,"version":"build-2736575974"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To report clinical features, pathology characteristics, and treatment outcomes of five patients with Rosai-Dorfman disease (RDD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective case series of patients with RDD from the Ocular Oncology Service of Wills Eye Hospital between 1974 and 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were six eyes of five patients (3 males, 2 females) with ophthalmic manifestations of RDD. The mean age at the initial presentation was 33 years (median 35, range 10\u201352 years). Before referral, the tumor was initially suspected to be lymphoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3), idiopathic orbital inflammation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), or pterygium (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). The disease was unilateral (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) or bilateral (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). The mean duration of symptoms was 9 months (median 8, range 5\u201324 months). The disease produced nodules in the conjunctiva (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4) or orbit (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2). Two patients with conjunctival involvement had corneal involvement. One patient with bilateral conjunctiva lesions demonstrated bilateral orbital involvement and bilateral anterior uveitis. The mean tumor basal dimension was 13 mm (median 9, range 6\u201327 mm) for conjunctiva lesions and 37 mm (median 37, range 34\u201340 mm) for orbital lesions. The main symptom (per patient) included proptosis (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), palpable mass (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and foreign body sensation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2). No patient experienced pain or tenderness. Palpable, nontender lymphadenopathy was detectable in two patients in the cervical and inguinal lymph nodes. Systemic involvement with paranasal sinusitis and mediastinal\/pulmonary lymphadenopathy occurred in two patients, both with orbital involvement. Surgical resection was performed for all patients. At a mean follow-up of 31 months (median 12, range, 10\u201376 months) after the surgery, tumor control was achieved in all six eyes without local recurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this series of six eyes with RDD, patients with orbital and\/or intraocular disease were more likely to demonstrate lymphadenopathy and systemic involvement, while those with unilateral perilimbal conjunctival tumors remained localized.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joco.joco_84_20","type":"journal-article","created":{"date-parts":[[2020,8,9]],"date-time":"2020-08-09T22:02:33Z","timestamp":1597010553000},"page":"238-243","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":16,"title":["Ophthalmic Manifestations of Rosai-Dorfman Disease in Five Patients"],"prefix":"10.4103","volume":"32","author":[{"given":"Babak","family":"Masoomian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara E.","family":"Lally","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry A.","family":"Shields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol L.","family":"Shields","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20240910","first-page":"63","article-title":"Sinus histiocytosis with massive lymphadenopathy","volume":"87","author":"Rosai","year":"1969","journal-title":"A newly recognized benign clinicopathological entity. 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