Wadhwa Neeraj, Vohra Rajpal, Shrey Dinesh, Iyer V K, Garg Satpal
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2007 May-Jun;55(3):223-4. doi: 10.4103/0301-4738.31947.
Ocular manifestations form a part of the spectrum of varied clinical presentations in leukemias. Most of the ophthalmic manifestations are related to central nervous system leukemia and bone marrow relapse. We report a case of acute unilateral hypopyon uveitis as an initial presenting feature of relapsing acute lymphoblastic leukemia (ALL) in a pediatric patient. Anterior chamber paracentesis was performed in a four-year-old male child presenting with unilateral treatment-resistant hypopyon after remission of ALL. Examination of aqueous humor aspirate revealed presence of malignant cells. Atypical hypopyon, even unilateral can be an indication of relapsing ALL in a child.
眼部表现是白血病多种临床表现的一部分。大多数眼科表现与中枢神经系统白血病和骨髓复发有关。我们报告一例急性单侧前房积脓性葡萄膜炎，作为一名儿科患者复发性急性淋巴细胞白血病（ALL）的初始表现特征。一名4岁男童在ALL缓解后出现单侧难治性前房积脓，进行了前房穿刺术。房水抽吸物检查发现存在恶性细胞。非典型前房积脓，即使是单侧的，也可能是儿童复发性ALL的一个指征。
