Abstract
PURPOSE: Herein, the authors describe an unusual presentation of EBV-associated diffuse large B-cell lymphoma in the bilateral orbits of an immunocompetent woman. OBSERVATIONS: An elderly, immunocompetent woman presented with an orbital mass which was biopsied and proven to be EBV-associated lymphoma. The authors then performed a literature search and review which suggested this presentation to be rare as it has been infrequently reported in the ophthalmic literature. CONCLUSIONS AND IMPORTANCE: More research is needed to fully ascertain the importance of EBV in ocular adnexal lymphoma. The authors hope this case report adds to the body of literature a different presentation of EBV-associated ocular adnexal lymphoma.