An Interesting Case Report on Leukemic Retinopathy
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Chief author: Dr Damalla Keerthana, Post graduate,
Regional Eye Hospital,
Kakatiya Medical College, Warangal.
Co- author: Dr. G. R. Bharath Kumar, Dr. S. Vijayasree.
No financial disclosures.
Conflicts of interest- Nil
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The most common signs and symptoms of acute lymphoblastic leukemia is Anemia.
Anemia occurs when normal red blood cells can’t be produced because the bone marrow
is overcrowded by leukemic cells.
Rarely, loss of vision can be a presenting complaint, because most cases are
asymptomatic.
At the macula, hemorrhages, edema, or hard exudates can cause impairment of vision.
Retinal changes common to all anemias include the following: Hemorrhages, cotton wool
spots, retinal edema, hard exudates, vessel changes.
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A case report on 23-year-old male patient presented to the Regional eye hospital,
Warangal with complaints of diminution of vison in right eye since 1 year
On fundus examination patient presented with multiple flame shaped haemorrhages, Roth
spots, preretinal haemorrhages obscuring macula in Right eye. Multiple flame shaped
haemorrhages, Roth spots, preretinal haemorrhage nasal to optic disc with healthy macula
in Left eye.
Patient underwent laboratory investigations.
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Media: Clear
OD: 0.3:1 CDR
Blood vessels: Roth spots, multiple flame
shaped hemorrhages present.
Macula: Pre retinal hemorrhages obscuring
viewing of macula.
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Media: Clear
OD: 0.3:1 CDR
Blood vessels: Pre retinal hemorrhages nasal to
optic disc, Roth spots, multiple flame shaped
hemorrhages present.
Macula: Foveal reflex Present
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Based on clinical presentation and hematological reports patient was diagnosed as
Leukemic retinopathy.
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This is a case of Acute Lymphoblastic Leukemia with severe anemia, bleeding
manifestation with Leukemic retinopathy.
An intriguing case report on leukemic retinopathy presented at the 9th Annual State Ophthalmological Conference TOSCON 2024. The report discusses a 23-year-old patient presenting with vision issues in one eye, including detailed fundus examination findings and diagnostic investigations.
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Presentation Transcript
Manoj Mathur E-Poster [Title of the E-Poster] [Presenting Author s Name] 9thAnnual State Ophthalmological Conference TOSCON 2024 12thto 14thJuly, 2024 at Katriya Hotel & Towers, Hyderabad An interesting case report on Leukemic An interesting case report on Leukemic retinopathy retinopathy Chief author: Dr Damalla Keerthana, Post graduate, Regional Eye Hospital, Kakatiya Medical College, Warangal. Co- author: Dr. G. R. Bharath Kumar, Dr. S. Vijayasree. No financial disclosures. Conflicts of interest- Nil
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Introduction The most common signs and symptoms of acute lymphoblastic leukemia is Anemia. Anemia occurs when normal red blood cells can t be produced because the bone marrow is overcrowded by leukemic cells. Rarely, loss of vision can be a presenting complaint, because most cases are asymptomatic. At the macula, hemorrhages, edema, or hard exudates can cause impairment of vision. Retinal changes common to all anemias include the following: Hemorrhages, cotton wool spots, retinal edema, hard exudates, vessel changes.
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Method A case report on 23-year-old male patient presented to the Regional eye hospital, Warangal with complaints of diminution of vison in right eye since 1 year On fundus examination patient presented with multiple flame shaped haemorrhages, Roth spots, preretinal haemorrhages obscuring macula in Right eye. Multiple flame shaped haemorrhages, Roth spots, preretinal haemorrhage nasal to optic disc with healthy macula in Left eye. Patient underwent laboratory investigations.
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Right Eye fundus Media: Clear OD: 0.3:1 CDR Blood vessels: Roth spots, multiple flame shaped hemorrhages present. Macula: Pre retinal hemorrhages obscuring viewing of macula.
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Left Eye fundus Media: Clear OD: 0.3:1 CDR Blood vessels: Pre retinal hemorrhages nasal to optic disc, Roth spots, multiple flame shaped hemorrhages present. Macula: Foveal reflex Present
9th Annual State Ophthalmological Conference TOSCON 2024 12th to 14th July, 2024 at Katriya Hotel & Towers, Hyderabad Discussion Based on clinical presentation and hematological reports patient was diagnosed as Leukemic retinopathy. Conclusion This is a case of Acute Lymphoblastic Leukemia with severe anemia, bleeding manifestation with Leukemic retinopathy.
