Acute leukemia presenting as a unilateral exudative retinal detachment.
The leukemias commonly involve the eyes and adnexae. It is unusual, however, for leukemia to present with visual complaints. Furthermore, there are only rare case reports of leukemic patients presenting with bilateral exudative retinal detachments. We report a unique case of a boy who presented with visual loss due to a unilateral exudative retinal detachment. A systemic evaluation discovered acute lymphocytic leukemia (ALL). There was rapid settling of the exudative detachment and improvement in vision while the patient received chemotherapy and radiotherapy for the ALL.
Foundation for Retinal Research, New Orleans, LA.
M W
MW
Stewart
K A
KA
Gitter
G
G
Cohen
D001706:Biopsy; D001772:Blood Cell Count; D001856:Bone Marrow Examination; D002648:Child; D003561:Cytarabine / Q000627:therapeutic use; D005451:Fluorescein Angiography; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007278:Injections, Spinal; D008297:Male; D008727:Methotrexate / Q000627:therapeutic use; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications* / Q000188:drug therapy; D012163:Retinal Detachment / Q000209:etiology*; D014792:Visual Acuity
D003561:Cytarabine; D006854:Hydrocortisone; D008727:Methotrexate