Tyagi Mudit, Agarwal Komal, Paulose Remya Maureen, Rani Padmaja Kumari
Smt Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India.
BMJ Case Rep. 2017 Sep 25;2017:bcr-2017-219741. doi: 10.1136/bcr-2017-219741.
A 40-year-old man presented with a sudden onset of diminution of vision in his left eye for 2 days. Anterior segment of both eyes was within normal limits. Right eye retinal evaluation was normal. However, the left eye retinal evaluation showed isolated subinternal limiting membrane haemorrhage at the fovea along with a white-centred haemorrhage above the fovea. There was no antecedent history of trauma or valsalva. He was normotensive and his glycaemic status was also normal. His blood investigations along with peripheral smear were done, which helped to clinch the diagnosis of an underlying chronic myeloid leukaemia.
一名40岁男性因左眼视力突然下降2天前来就诊。双眼眼前节正常。右眼视网膜评估正常。然而，左眼视网膜评估显示，黄斑区孤立性内界膜下出血，同时黄斑上方有以白色为中心的出血。既往无外伤或用力屏气病史。他血压正常，血糖状况也正常。进行了血液检查及外周血涂片检查，这有助于确诊潜在的慢性髓性白血病。
