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Therapy

Efficacy

Toxicity

Ocular RT (30-40 Gy) Rare local recurrence 60-

95% RR; no impact on OS

Cataracts, dry eyes,

retinopathy (mild)

HD-MTX

~50% sustained response,

poor vitreous penetration

Mild

HD-MTX+ RT both

eyes

100% CR

Cataracts, dry eyes,

retinopathy

Intensive chemo (EA)

+ASCT (TBC)

>50% response to EA;

6/10CR

Neurologic toxicity,

hemorrhage, VOD

Intravitreal rituximab or

MTX

Requires>6 injections to

achieve CR;

investigational

Conjunctival

keratopathy, cataracts,

optic atrophy,

endophthalmitis

Rubenstein et al. Blood 2013