Orbital and Ocular Manifestations of Acute Leukemia: Clinical Analysis in a Tertiary Care Hospital

Authors

  • Ahmed Tanjimul Islam Medical Officer of Hematology, Chittagong Medical College Hospital, Chittagong, Bangladesh
  • Mohammad Golam Rabbani Associate Professor of Hematology, Chittagong Medical College, Chittagong, Bangladesh
  • Subrata Dey Resident Surgeon of Ophthalmology, Chittagong Medical College Hospital, Chittagong, Bangladesh

DOI:

https://doi.org/10.3329/jcmcta.v26i1.61811

Keywords:

Leukemia; Ocular manifestations; Orbital infiltration

Abstract

To determine the prevalence of orbital and ocular manifestations in acute leukemia at the time of presentation, sixty (60) patients diagnosed with acute leukemia were examined for ocular lesions by within two weeks of diagnosis before starting chemotherapy. The detailed ocular examination of both eyes was carried out by the ophthalmologist irrespective of the presence or absence of eye symptoms in all cases. Only 3 out of 60 patients presented with eye symptoms (5%). However, ocular changes were found in 16 patients (26%), 11 with lymphoblastic and 5 with myeloid leukemia. The ocular lesions observed were Intraretinal hemorrhages, decreased Visual acuity, Proptosis, Macular hemorrhage, Cotton wool spots, Papilloedema, Vitrious hemorrhage and Sixth nerve palsy. In view of the high prevalence of asymptomatic ocular lesions in acute leukemia, routine Ophthalmic Examination should be included as a part of evaluation at the time of diagnosis.

JCMCTA 2015 ; 26 (1) : 21-24

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Published

2015-09-13

How to Cite

Islam, A. T. ., Rabbani, M. G. ., & Dey, S. . (2015). Orbital and Ocular Manifestations of Acute Leukemia: Clinical Analysis in a Tertiary Care Hospital. Journal of Chittagong Medical College Teachers’ Association, 26(1), 21–24. https://doi.org/10.3329/jcmcta.v26i1.61811

Issue

Section

Papers and Originals