Retinal, optic disc changes and effect on visual acuity in Leukemia - An analytical study
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 2
Abstract
Background:Leukemia is one of the most common malignancies in humans from childhood to elderly. Leukemia leads to frequent involvement of retina and Optic nerve head, thereby Vision loss due to increased survival rate because of improved treatment facilities available today.Aims and objectives:1To Analyse the Retinal and Optic Disc changes occurring in patients suffering from Leukemia.2To Analyse the effect of Leukemia on the Visual Acuity.Materials and Methods: This is a prospective study involving 25 patients with Retinal and Optic Disc changes due to Leukemia presented at a Tertiary Care Centre. They were subjected to routine fundus examination and Visual Acuity Assessment. A proforma was prepared with visual acuity and fundus examination details for each patient.Observation and Results: Haemorrhagic retinal changes is seen in all types of Leukemias. Ischemic retinal disease is common with Chronic leukemias. Leukemic infiltrates are common with Lymphoid leukemias. Decrease in Visual acuity is mainly due to macular pre-retinal haemorrhages in Acute Leukemias.Conclusion:Understanding of the retinal and optic nerve head manifestations in various types of Leukemias will help in proper Ophthalmic evaluation of the Leukemic patients and thereby help the treatment physician in the treatment of Leukemic patients.
Authors and Affiliations
Raja Rengaraj
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