Canterbury District Health Board, Christchurch, New Zealand.
Waikato District Health Board, Hamilton, New Zealand.
Digit J Ophthalmol. 2022 Oct 29;28(4):116-118. doi: 10.5693/djo.02.2022.03.001. eCollection 2022.
A 23-year-old man presented with a 1-month history of a red and painful right eye, with visual acuity reduced to hand motions. Examination showed uveitis with keratic precipitates, cells and flare in the anterior chamber, and vitritis that obscured visualization of the right fundus. The following week, he was noted to have the following left-sided findings: reduced visual acuity (6/18), painless upper eyelid edema, an elevated, pink bulbar conjunctival lesion, limitation of ocular abduction, paresthesia in the V1 and reduced sensation in the V2 distributions. Blood tests showed pancytopenia. Results from the aspirate and trephine biopsy of his bone marrow were consistent with aggressive natural killer (NK) cell leukemia, a rare cause of ocular and periocular inflammation that requires a multidisciplinary team approach to care.
一位 23 岁男性因右眼红肿疼痛 1 个月就诊，视力下降至手动。检查发现前房有虹膜睫状体炎、角膜后沉着物、细胞和炎症，右眼眼底无法看清。一周后，他出现左眼如下表现：视力下降（6/18）、无痛性上眼睑水肿、隆起的粉红色球结膜病变、眼球外展受限、V1 区感觉异常和 V2 区感觉减退。血液检查显示全血细胞减少。骨髓抽吸和环钻活检结果符合侵袭性自然杀伤（NK）细胞白血病，这是一种罕见的眼部和眼眶炎症病因，需要多学科团队来治疗。
