Abramson D H, Wachtel A, Watson C W, Jereb B, Wollner N
J Pediatr Ophthalmol Strabismus. 1981 May-Jun;18(3):42-4. doi: 10.3928/0191-3913-19810501-10.
A seven-year-old girl was successfully treated for acute lymphoblastic leukemia. Despite clinical remission she developed a monocular hypopyon which was treated successfully with topical and subtenons steroids. When the hypopyon reappeared, a diagnostic paracentesis revealed leukemic cells and a normal aqueous lactate dehydrogenase. Leukemic ocular infiltration may clinically mimic both neoplastic and inflammatory ocular conditions. The combination of paracentesis and lactate dehydrogenase assay greatly aid in the correct diagnosis.
一名七岁女孩成功治愈急性淋巴细胞白血病。尽管临床症状缓解，但她出现了单眼前房积脓，通过局部和球后注射类固醇成功治愈。当前房积脓再次出现时，诊断性穿刺显示有白血病细胞且房水乳酸脱氢酶正常。白血病眼部浸润在临床上可能同时模仿肿瘤性和炎症性眼部疾病。穿刺术和乳酸脱氢酶检测相结合极大地有助于正确诊断。
