OPHTHALMOLOGIC MANIFESTATIONS AS INITIAL PRESENTATION OF PATIENT WITH ACUTE LYMPHOID LEUKAEMIA-CASE REPORT

Leukemia is a proliferative and malignant syndrome of hematopoietic stem cells of the bone marrow. The ocular manifestations could be used as predictors of leukemiaor they can be detected after confirming the diagnosis of leukemia. We report a case of 19 years old male presented with sudden painless decrease of vision of both eyes, left more than right, for 3 days associated with fatigue, headache, and palpation for 2 days duration. After diagnosis, the case suffered from acute lymphoid leukemia which was associated with some ophthalmic manifestations including multiple blots and flame shaped hemorrhage of the right eye, macular hemorrhage, cotton wall spot of the left eye and white centered hemorrhage of both eyes. OCT revealed left thickening of sensorial retinal consistent with macular hemorrhage. After conducting all investigations, the patient was confirmed to be suffering from acute lymphoid leukemia.