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Past Issue Volume 5, Number 3, 2003
Bilateral Retinal Detachment in Acute Myeloid Leukaemia

K Pavithran, BV Ajithkumar, R Aruna, M Thomas
Department of Haematology and Internal Medicine, Medical College Hospital, Trivandrum, India

Ocular manifestations are common in patients with acute leukaemia. This can result from direct infiltration by neoplastic cells of ocular tissues, including optic nerve, choroid, retina, iris, and ciliary body, or secondary to haematological abnormalities such as anaemia, thrombocytopenia, or hyperviscosity states, or retinal destruction by opportunistic infections. Simultaneous involvement of various ocular tissues is rare. This report is of a 65-year-old man who presented with bilateral painful loss of vision. He was found to have glaucoma, hyphaema in the right eye, vitreous haemorrhages, and retinal detachment in both eyes. Bilateral retinal detachment as the initial manifestation of acute leukaemia is extremely rare.

Key Words: Acute myeloid leukemia, Retinal detachment

Asian J Ophthalmol
2003;5(3):13-14.
 
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