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A case of acute lymphoid leukemia presenting bilateral serous retinal detachment Terumi Mori 1 , Tatsuro Miyamoto 2 , Mariko Egawa 2 , Yoshinori Mitamura 2 , Yuko Ichihara 3 , Kazumi Okamura 3 , Hiroyoshi Watanabe 3 1Department of Ophthalmology, Anan Kyoei Hospital 2Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University 3Department of Pediatrics, Institute of Biomedical Sciences, Tokushima University pp.905-912
Published Date 2017/6/15
DOI https://doi.org/10.11477/mf.1410212302
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Abstract Purpose:To report a case of acute lymphoid leukemia(ALL)with bilateral serous retinal detachment(SRD)and distinctive findings on fundus autofluorescence(FAF).

Case:A 21-year-old man was referred to us for visual disturbance in the right eye. He had received chemotherapy for ALL 15 years before. Recurrent ALL had occurred 4 years before.

Findings and Clinical course:The best corrected visual acuity was 0.5 OD and 1.2 OS. The bilateral SRD similar to Vogt-Koyanagi-Harada disease(VKH)found accompanied with granular hyperfluorescent and hypofluorescent dots on FAF. Optical coherence tomography(OCT)showed SRD, irregular thickening of retinal pigment epithelium, and thickened choroid. After he was diagnosed reccurent ALL, the chemotherapy for necurrail ALL, these findings had been improved.

Conclusion:We experienced bilateral SRD similar to VKH in eyes with ALL. FAF was helpful in differentiating SRD associated with ALL from VKH.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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