Alemayehu W, Shamebo M, Bedri A, Mengistu Z
Department of Ophthalmology, Faculty of Medicine, Addis Ababa University, Ethiopia.
Ethiop Med J. 1996 Oct;34(4):217-24.
A prospective ophthalmic evaluation of 74 newly diagnosed and 34 old (on follow-up) leukaemic patients, carried out from March 1990 to December 1995 is described. Primary ocular involvement, that is leukaemic retinal infiltrates, were detected in 32% of the newly diagnosed. In contrast, none of the old leukaemic patients had this lesion. In 69% of the new and 21% of the old cases, secondary ocular manifestations of leukaemia were observed. The major secondary ocular manifestation of leukaemia in both groups was intra-retinal haemorrhage. A variety of miscellaneous ocular findings, such as cataract, pterygium, pingeculae, etc. were detected in 36% of all leukemics. These findings indicate the importance of a complete ophthalmologic evaluation in the diagnosis, follow-up and management of leukaemic patients.
本文描述了1990年3月至1995年12月对74例新诊断的白血病患者和34例旧病例（正在随访）进行的前瞻性眼科评估。在新诊断的患者中，32%检测到原发性眼部受累，即白血病视网膜浸润。相比之下，旧病例的白血病患者均无此病变。在69%的新病例和21%的旧病例中，观察到白血病的继发性眼部表现。两组中白血病的主要继发性眼部表现均为视网膜内出血。在所有白血病患者中，36%检测到各种其他眼部病变，如白内障、翼状胬肉、睑裂斑等。这些发现表明全面眼科评估在白血病患者诊断、随访和管理中的重要性。
