Bilateral Serous Retinal Detachment as a Presenting Sign of Acute Lymphoblastic Leukemia.
10.3341/kjo.2010.24.4.245
- Author:
Jinseon KIM
1
;
Woohyok CHANG
;
Min SAGONG
Author Information
1. Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. eyesgm@hotmail.com
- Publication Type:Case Report
- Keywords:
Acute lymphoblastic leukemia;
Precursor cell lymphoblastic leukemia-lymphoma;
Serous retinal detachment
- MeSH:
Antineoplastic Agents/therapeutic use;
Female;
Fluorescein Angiography;
Follow-Up Studies;
Fundus Oculi;
Humans;
Middle Aged;
Precursor Cell Lymphoblastic Leukemia-Lymphoma/*complications/diagnosis/drug therapy;
Recovery of Function;
Retinal Detachment/diagnosis/*etiology/physiopathology;
Tomography, Optical Coherence;
Visual Acuity/physiology
- From:Korean Journal of Ophthalmology
2010;24(4):245-248
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of bilateral serous retinal detachment (SRD) as a presenting sign of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL). A 45-year-old woman presented with decreased vision and was found to have bilateral serous retinal detachment. Peripheral blood smears revealed leukocytosis of 53.9x10(3)/microliter with 64.6% lymphoblasts. A bone marrow aspirate revealed the presence of lymphoblasts. Cytogenetic and molecular genetic analysis detected a reciprocal translocation between chromosome 9 and 22, t(9;22) (q34;q11). A diagnosis of Ph+ ALL was made. Following systemic chemotherapy, the bilateral SRD resolved completely with full recovery of vision. The sudden appearance of SRD should raise suspicion for leukemia. Prompt recognition of this disease is important for early systemic treatment and restoration of visual function.
