Kratko priopćenje

Visual Loss as Initial Presentation of Chronic Myelogenous Leukemia

Blanka Doko Mandić
Vlatka Potočnjak
Goran Benčić
Zdravko Mandić
Ante Pentz
Tomislav Franjo Hajnžić

Sažetak

A previously healthy 17-year old girl presented with sudden visual loss in both eyes. Visual acuity on the right eye
was 0.3 and on the left eye 0.1. Fundoscopic examination showed bilateral optic disc edema, retinal venous tortuousity
and dilatation, retinal blot and flame-shaped hemorrhages, Roth spots and on the left eye dark blot preretinal hemorrhage
covering the fovea. Laboratory evaluation showed white blood cell count of 455109 L. Bone marrow biopsy confirmed
the diagnosis of chronic myelogenous leukemia. Chemotherapy was initiated and led to the improvement of visual
acuity. Fundus changes had resolved except for the preretinal hemorrhage on left eye which decreased in size.
Preretinal hemorrhage in fovea caused maculopathy on the left eye. Three months after admisson visual acuity was 1.0
on the right eye and 0.3 on the left eye. Leukemia should always be included in the differential diagnosis of optic disc
edema and retinal hemorrhages.

Ključne riječi

CML; visual loss; symptoms and signs

Hrčak ID:

27887

URI

https://hrcak.srce.hr/27887

Datum izdavanja:

20.6.2005.

Posjeta: 2.006 *