Rangel CM, Ortiz Á, Sánchez-Ávila R, Varón C, Cárdenas PL, Escaf LC, Jaramillo D, Rodriguez H. Ophthalmological findings in patients with leukaemia in a Colombian population.
ACTA ACUST UNITED AC 2020;
96:242-250. [PMID:
32828605 DOI:
10.1016/j.oftal.2020.05.021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Revised: 05/21/2020] [Accepted: 05/22/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE
To report the ocular manifestations in patients with leukaemia.
METHODS
This is a retrospective, descriptive and observational study in patients with ocular manifestations of leukaemia.
RESULTS
A total of 14 eyes were evaluated corresponding to 8 patients (5 women and 3 men) with ocular manifestations of leukaemia. The mean age at diagnosis was 43 years (31-76 years). Six eyes corresponded to patients with acute myeloid leukaemia (AML), four eyes to acute lymphoid leukaemia (ALL), two eyes to chronic myeloid leukaemia (CML), and the remaining two belonged to patients with hairy cell leukaemia (HCL). The primary ocular findings were choroidal invasion in 12 eyes (85.7%), retinal infiltration in 4 eyes (28.6%), and neuro-ophthalmic disorders in 4 eyes (28.6%). The mean visual acuity improved from 0.689 to 0.449 (logMAR) (P=.012) after the systemic and intrathecal chemotherapy. Of the eight patients, four died from systemic complications of the underlying disease.
CONCLUSIONS
This is the first report of multiple ocular manifestations secondary to leukaemia in a Colombian population. It is important to keep in mind that this disease is included within the masquerade syndromes and that the ophthalmological findings that, while subtle, can also be devastating and be signs of a life-threatening disease.
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