Leukemia presenting as serous retinal detachment.

Adiel G Smith, Nikolas J S London, Kristina Pao, Jeffrey Lipkowitz, Shree K Kurup, Sunir J Garg

Journal: Retinal cases & brief reports 2015;8(4):279-82

PMID: 25372528

Abstract

BACKGROUND

To describe a patient who presented with bilateral serous retinal detachments without the other retinal vascular or ocular inflammatory signs, and who was ultimately diagnosed with acute leukemia.

METHODS

Case report and review of the literature.

RESULTS

This patient presented with isolated bilateral serous retinal detachments as the initial manifestation of hematologic malignancy.

CONCLUSION

Acute leukemia may present with serous retinal detachments without the signs of other retinopathy or ocular inflammation. Incorrect diagnosis may delay detection and proper management of the malignancy. Leukemia should be considered in the differential diagnosis of isolated serous retinal detachments.

Address: *Mid Atlantic Retina, The Retina Service of Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania; †Retina Consultants San Diego, La Jolla, California; ‡Delaware Valley Retina, Lawrenceville, New Jersey; and §Department of Ophthalmology, Wake Forest University Eye Center, Winston-Salem, North Carolina.
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