NYMC Faculty Publications

Leukemic Retinopathy: A Diagnostic Clue for Initial Detection and Prognosis of Leukemia

Author Type(s)

Resident/Fellow, Faculty

DOI

10.7759/cureus.50587

Journal Title

Cureus

First Page

e50587

Document Type

Article

Publication Date

12-1-2023

Department

Ophthalmology

Abstract

Leukemia is a systemic malignancy that can compromise various physiological functions, including vision. We report a case of a 37-year-old male presenting with worsening bilateral central vision loss, fatigue, shortness of breath, and ankle edema. Ophthalmic examination revealed extensive retinal hemorrhages, Roth spots, and subhyaloid hemorrhages, consistent with leukemic retinopathy. Further hematologic workup confirmed chronic eosinophilic leukemia. The patient showed systemic and visual improvement after prompt treatment with imatinib. This case highlights the importance of ophthalmological assessment in diagnosing leukemia, as ocular manifestations may often be the first sign of hematological disease.

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