Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report

An 18-year-old Malay gentleman was noted to have profound bilateral blurred vision for one month duration, associated with loss of weight, appetite, low grade fever and abdominal distension. Visual acuity on presentation was 6/60 on the right, counting finger on the left with no afferent pupillary d...

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Main Authors:	Raajini Devi K., Safinaz MK., Hazlita MI.
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2015
Online Access:	http://journalarticle.ukm.my/8661/ http://journalarticle.ukm.my/8661/ http://journalarticle.ukm.my/8661/1/12-Raajini%2520Devi%2520k%2520et%2520al..pdf

id	ukm-8661
recordtype	eprints
spelling	ukm-86612016-12-14T06:47:49Z http://journalarticle.ukm.my/8661/ Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report Raajini Devi K., Safinaz MK., Hazlita MI., An 18-year-old Malay gentleman was noted to have profound bilateral blurred vision for one month duration, associated with loss of weight, appetite, low grade fever and abdominal distension. Visual acuity on presentation was 6/60 on the right, counting finger on the left with no afferent pupillary defect. Anterior segments were unremarkable. Vitreous cells were occasional bilaterally. Fundus revealed multiple choroidal and sub-retinal Roth spots with areas of pre-retinal and intra-retinal haemorrhages, involving the macula in the left eye. Vessels were dilated and tortuous in all quadrants of the right eye. Many areas of capillary fall out at peripheral retina were demonstrated in fundus fluorescein angiogram. Further systemic and laboratory review confirmed the diagnosis of CML and chemotherapy was initiated. Both eye ischaemic retinopathy secondary to CML was confirmed and scatter pan retinal photocoagulation was performed bilaterally. Good improvement in vision noted during subsequent follow up to 6/24 on the right, 6/60 on the left. High levels of suspicion and accurate early recognition of fundus changes are vital in these types of cases to ensure the institution of prompt treatment. Department of Surgery, UKM Medical Centre 2015-06-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8661/1/12-Raajini%2520Devi%2520k%2520et%2520al..pdf Raajini Devi K., and Safinaz MK., and Hazlita MI., (2015) Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report. Journal of Surgical Academia, vol.5 (1). pp. 61-63. ISSN 2231-7481 http://jsurgical.com
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	An 18-year-old Malay gentleman was noted to have profound bilateral blurred vision for one month duration, associated with loss of weight, appetite, low grade fever and abdominal distension. Visual acuity on presentation was 6/60 on the right, counting finger on the left with no afferent pupillary defect. Anterior segments were unremarkable. Vitreous cells were occasional bilaterally. Fundus revealed multiple choroidal and sub-retinal Roth spots with areas of pre-retinal and intra-retinal haemorrhages, involving the macula in the left eye. Vessels were dilated and tortuous in all quadrants of the right eye. Many areas of capillary fall out at peripheral retina were demonstrated in fundus fluorescein angiogram. Further systemic and laboratory review confirmed the diagnosis of CML and chemotherapy was initiated. Both eye ischaemic retinopathy secondary to CML was confirmed and scatter pan retinal photocoagulation was performed bilaterally. Good improvement in vision noted during subsequent follow up to 6/24 on the right, 6/60 on the left. High levels of suspicion and accurate early recognition of fundus changes are vital in these types of cases to ensure the institution of prompt treatment.
format	Article
author	Raajini Devi K., Safinaz MK., Hazlita MI.,
spellingShingle	Raajini Devi K., Safinaz MK., Hazlita MI., Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
author_facet	Raajini Devi K., Safinaz MK., Hazlita MI.,
author_sort	Raajini Devi K.,
title	Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
title_short	Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
title_full	Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
title_fullStr	Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
title_full_unstemmed	Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report
title_sort	bilateral profound visual loss as a consequence of leukaemia – a case report
publisher	Department of Surgery, UKM Medical Centre
publishDate	2015
url	http://journalarticle.ukm.my/8661/ http://journalarticle.ukm.my/8661/ http://journalarticle.ukm.my/8661/1/12-Raajini%2520Devi%2520k%2520et%2520al..pdf
first_indexed	2023-09-18T19:52:54Z
last_indexed	2023-09-18T19:52:54Z
_version_	1777406338169569280

Bilateral Profound Visual Loss As a Consequence of Leukaemia – A Case Report

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