Retina-Vitreous
2010 , Vol 18 , Num 1
Acute Myeloid Leukemia at Presentation with Bilateral Vision Loss
1Mersin Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Mersin, Araş. Gör. Dr.2Mersin Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Mersin, Doç. Dr. A 25 year old woman admitted to the outpatient ward with the complaints of having blurred vision and general weakness. Examination revealed a vision of 2/10 for the right eye and 3/10 for the left eye with the best correction applied. Patient’s pupil reactions and anterior segment examinations were found to be normal. Her fundus examination unveiled an edema at both optic discs, intense tortiousity of the vessels and retinal bleeding. Orbital, cranial magnetic resonance imaging and analysis of the cerebro spinal fluid turned out to be normal. Patient’s systemic examination led to the diagnosis of acute myeloid leukemia and she was put on chemotherapy. Sudden loss of vision and optic disc edema may be a very rare presentation for acute leukemias but still may sometimes constitute the first presenting symptoms. It is also an important indicator of the affected central nervous system. As a result we beleive that it is imperative to take blood samples for a cell count in patients applying with such symptoms in order to eliminate myeloproliferative diseases. Keywords : Acute myeloid leukemia, optic disc edema