Swartz M, Schumann G B
Am J Ophthalmol. 1980 Sep;90(3):326-30. doi: 10.1016/s0002-9394(14)74911-6.
A 30-year-old man with acute lymphoblastic leukemia, null cell, L2 type developed a unilateral dense cellular vitreous infiltrate while in apparent remission. Cytopathologic examination of material aspirated from the vitreous established the diagnosis of lymphoblastic infiltration. Prompt radiotherapy and chemotherapy rapidly reduced the vitreous infiltration and cleared cells from the cerebrospiral fluid. Intraocular involvement by the leukemic process was the initial sign of central nervous system involvement. Acute lymphoblastic leukemia should be added to the list of lymphoproliferative disorders capable of vitreous infiltration, and which can be identified by vitreous aspiration and cytopathologic examination.
一名30岁的男性，患有无细胞L2型急性淋巴细胞白血病，在明显缓解期出现单侧致密的细胞性玻璃体浸润。对玻璃体吸出物进行的细胞病理学检查确诊为淋巴细胞浸润。及时进行放疗和化疗迅速减轻了玻璃体浸润，并清除了脑脊液中的细胞。白血病过程的眼内受累是中枢神经系统受累的最初迹象。急性淋巴细胞白血病应被列入能够引起玻璃体浸润的淋巴增殖性疾病清单，可通过玻璃体吸出术和细胞病理学检查进行识别。
