Bilateral serous macular detachment as a presenting feature of acute lymphoblastic leukemia.
OBJECTIVE
To report a case of bilateral serous maculopathy as an initial sign of acute lymphoblastic leukaemia in children.


RESULTS
A 13-year-old girl, who presented with symptoms of visual blurring, was found to have a bilateral serous maculopathy. Haematological abnormalities (thrombocytopenia with a mild lymphocytosis) prompted further investigation. A bone marrow aspirate revealed the presence of leukemic blasts and a diagnosis of acute lymphoblastic leukaemia was made. Her maculopathy completely resolved following systemic chemotherapy.


CONCLUSIONS
Prompt recognition of disease led to early systemic treatment and restoration of visual function.
Malik
R
R
Department of Ophthalmology, Bristol Eye Hospital, Bristol--UK.
Shah
A
A
Greaney
M J
MJ
Dick
A D
AD
D000293:Adolescent; D003937:Diagnosis, Differential; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis*; D012163:Retinal Detachment / Q000175:diagnosis*; D014786:Vision Disorders / Q000175:diagnosis