Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Am J Med Sci. 2010 Apr;339(4):387-9. doi: 10.1097/MAJ.0b013e3181cf31ac.
Central retinal vein occlusion (CRVO) is a common cause of visual impairment at any age, but only 10% to 15% of patients are younger than 40 years. Ocular involvement is not uncommon in patients with leukemia; however, bilateral CRVO as a complication of acute myeloid leukemia has rarely been reported. Here, we report a patient who had simultaneous bilateral CRVO as the initial presentation of acute myeloid leukemia. Thorough examination should be carefully conducted because ocular manifestations may be the initial presentation of life-threatening illness. A prompt search for the underlying systemic illness should be performed in all young patients presenting with CRVO.
视网膜中央静脉阻塞（CRVO）是任何年龄段视力损害的常见原因，但只有 10%至 15%的患者年龄小于 40 岁。白血病患者中眼部受累并不少见；然而，双侧 CRVO 作为急性髓细胞性白血病的并发症很少有报道。在这里，我们报告了一例同时发生双侧 CRVO 的急性髓细胞性白血病患者。应仔细进行全面检查，因为眼部表现可能是危及生命疾病的首发症状。对于所有出现 CRVO 的年轻患者，应迅速寻找潜在的系统性疾病。
