Abstract

A 60-year-old female presented with acute onset painless loss of vision in both eyes. Clinical examination and ocular investigations revealed bilateral serous retinal detachments (SRDs) over the macula. There was no obvious intraocular or extraocular cause to the presentation. A blood count showed leukocytosis with the presence of blast cells on the peripheral smear. Further workup confirmed the diagnosis of Philadelphia chromosome-positive mixed phenotype acute leukemia with central nervous system disease stage three. Anatomic improvement in the SRD followed intensive intravenous and intrathecal chemotherapy. Limited functional improvement was attributed to the development of pigment epitheliopathy manifesting as leopard spot chorioretinopathy. This permanent disturbance could be attributed to leukemic infiltration and ischemia to the choroid.

Keywords

Publication details

DOI
10.4103/ojo.ojo_93_22
Journal
Oman Journal of Ophthalmology, 15(3), 356-359
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Al-Kalbani, K., Al-Hinai, A., & Al Busaidi, A. (2022). Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult. Oman Journal of Ophthalmology, 15(3), 356-359. https://doi.org/10.4103/ojo.ojo_93_22

MLA 9

Al-Kalbani, Khulood, et al. "Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult." Oman Journal of Ophthalmology, vol. 15, no. 3, 2022, pp. 356-359. https://doi.org/10.4103/ojo.ojo_93_22.

Chicago (author–date)

Al-Kalbani, Khulood, Ahmed Al-Hinai, and Aisha Al Busaidi. 2022. "Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult." Oman Journal of Ophthalmology 15 (3): 356-359. https://doi.org/10.4103/ojo.ojo_93_22.

Harvard

Al-Kalbani, K., Al-Hinai, A. and Al Busaidi, A. (2022) 'Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult', Oman Journal of Ophthalmology, 15(3), pp. 356-359. doi:10.4103/ojo.ojo_93_22.

Vancouver

Al-Kalbani K, Al-Hinai A, Al Busaidi A. Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult. Oman Journal of Ophthalmology. 2022;15(3):356-359. doi:10.4103/ojo.ojo_93_22

IEEE

K. Al-Kalbani, A. Al-Hinai, and A. Al Busaidi, "Bilateral serous retinal detachment: An initial presentation of mixed phenotype acute leukemia in an adult," Oman Journal of Ophthalmology, vol. 15, no. 3, pp. 356-359, 2022, doi: 10.4103/ojo.ojo_93_22.