Bhattacharjee Raghudev, Mishra Avinash, Mishra Chitaranjan, Bhawsinka Yoshita
Ophthalmologist, VR Specialist, Trilochan Netralaya, Sambal Pur, Odisha, India.
Professor & Head (Ophthalmology), Military Hospital Jalandhar, India.
Med J Armed Forces India. 2024 Sep-Oct;80(5):599-603. doi: 10.1016/j.mjafi.2022.12.009. Epub 2023 Jan 30.
We report a case of chronic myeloid leukemia (CML), which was diagnosed during the management of proliferative retinopathy (PR) in a patient with type I diabetes mellitus due to the fulminant nature of the PR. This case highlights the importance of vigilance on the part of the ophthalmologist in the diagnosis of co-existing systemic disorders, notably hematological malignancy, which aggravates the posterior segment vasculopathy of the eye and the management of which is crucial for the patient. We also describe a short literature review on the clinical features, mechanism of the posterior segment vasculopathy of the eye, and management of PR co-existing in a patient with CML.
我们报告了一例慢性髓性白血病（CML）病例，该病例是在一名I型糖尿病患者增殖性视网膜病变（PR）的治疗过程中因PR的暴发性而被诊断出来的。该病例强调了眼科医生在诊断并存的全身性疾病（尤其是血液系统恶性肿瘤）方面保持警惕的重要性，这种疾病会加重眼部后段血管病变，而其治疗对患者至关重要。我们还对CML患者并存的PR的临床特征、眼部后段血管病变机制及治疗进行了简短的文献综述。
