title: Bilateral Central Retinal Vein Occlusion as Presenting Feature of Chronic Myeloid Leukemia.
abstract: Central retinal vein occlusion (CRVO) is a common pathology of the retinal vasculature. Patients with CRVO usually present with a drop in visual acuity. The condition bears no specific therapy; treatment is aimed at the management of potentially blinding complications, of which there are many. With majority of cases being unilateral, bilateral CRVO is usually associated with an underlying systemic illness such as a hyperviscosity syndrome. Here, we present a case of a patient, who presented with a bilateral drop in vision diagnosed as bilateral CRVO on ophthalmic evaluation. Systemic workup revealed the presence of an underlying undiagnosed chronic myeloid leukemia. An initial presentation to the ophthalmologist is a rare occurrence in leukemic patients. This case report highlights the role of the ophthalmologist in diagnosing a potentially life-threatening hematological illness.
authors.affiliation: Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Subina
authors.initials: S
authors.lastname: Narang
authors.affiliation: Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Panchmi
authors.initials: P
authors.lastname: Gupta
authors.affiliation: Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Anuj
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Ophthalmology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Sunandan
authors.initials: S
authors.lastname: Sood
authors.affiliation: Department of Pathology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Anshu
authors.initials: A
authors.lastname: Palta
authors.affiliation: Department of Pathology, Government Medical College and Hospital, Chandigarh, India.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Goyal
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D001853:Bone Marrow / Q000473:pathology; D005451:Fluorescein Angiography; D006801:Humans; D000068877:Imatinib Mesylate / Q000627:therapeutic use; D015464:Leukemia, Myelogenous, Chronic, BCR-ABL Positive / Q000175:diagnosis* / Q000188:drug therapy; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D012170:Retinal Vein Occlusion / Q000175:diagnosis* / Q000188:drug therapy; D041623:Tomography, Optical Coherence; D014792:Visual Acuity
chemical_list: D000970:Antineoplastic Agents; D000068877:Imatinib Mesylate
keywords: Bilateral Central Retinal Vein Occlusion; Central Retinal Vein Occlusion; Chronic Myeloid Leukemia