H Merle1, R Richer, A Donnio, A Jean-Charles. 1. Service d'Ophtalmologie, CHU de Fort de France, Hôpital Pierre Zobda-Quitman, BP 632, 97261 Fort de France Cedex. harold.merle@chu-fortdefrance.fr
Abstract
INTRODUCTION: We report a case of unilateral leukemic infiltration of the optic nerve caused by acute lymphoblastic leukemia. CASE REPORT: A 30-year-old woman with acute lymphoblastic leukemia beginning 3 months before was referred for left visual loss. The left fundus showed optic disc engorgement by infiltrating tumor, with numerous hemorrhages and exudates caused by optic nerve leukemic infiltration. CONCLUSION: Optic nerve leukemic infiltration is considered as central nervous system damage with severe prognosis. Treatment is based upon systemic and intrathecal chemotherapy and central nervous system radiation.
INTRODUCTION: We report a case of unilateral leukemic infiltration of the optic nerve caused by acute lymphoblastic leukemia. CASE REPORT: A 30-year-old woman with acute lymphoblastic leukemia beginning 3 months before was referred for left visual loss. The left fundus showed optic disc engorgement by infiltrating tumor, with numerous hemorrhages and exudates caused by optic nerve leukemic infiltration. CONCLUSION:Optic nerve leukemic infiltration is considered as central nervous system damage with severe prognosis. Treatment is based upon systemic and intrathecal chemotherapy and central nervous system radiation.