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Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 121-123

Optic nerve infiltration and combined vascular occlusion as a sign of relapse in acute myeloid leukemia

Department of Opthalmology, Rajan Eye Care Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Mohankumar Arthi
Vitreoretinal Consultant, Rajan Eye Care Hospital, 5, Vidyodaya Second Street, T. Nagar, Chennai - 600 017, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1820_22

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Leukemic infiltration of the optic nerve is considered as a neuro-ophthalmic emergency and may be indicative of systemic and/or central nervous system relapse of the disease. These patients have hyperleukocytosis characterized by increased viscosity of blood causing leukostatic retinopathy and retinal vascular occlusions. In this case report, we describe a young male with simultaneous infiltrative and leukostatic manifestations in the posterior segment of the eye, which was the initial sign of relapse of leukemia. The case highlights the importance of meticulous and early eye examinations in patients with hematological malignancies, as it may impact the long-term survival of the patient.

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