Entopic Phenomenon as Initial Presentation of Acute Myelogenous Leukemia
Authors: Caroline Laforest, Dinesh Selva, John Crompton, Igal Leibovitch
Journal: Annals of Internal Medicine (2005)

Letters6 December 2005Entopic Phenomenon as Initial Presentation of Acute Myelogenous LeukemiaCaroline Laforest, Dinesh Selva, MBBS, John Crompton, MBBS, and Igal Leibovitch, MDCaroline LaforestFrom Royal Adelaide Hospital, Adelaide SA 5000, Australia.Search for more papers by this author, Dinesh Selva, MBBSFrom Royal Adelaide Hospital, Adelaide SA 5000, Australia.Search for more papers by this author, John Crompton, MBBSFrom Royal Adelaide Hospital, Adelaide SA 5000, Australia.Search for more papers by this author, and Igal Leibovitch, MDFrom Royal Adelaide Hospital, Adelaide SA 5000, Australia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-143-11-200512060-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Background: About half of adult patients with acute myelogenous leukemia experience ocular involvement (1), most commonly leukemic retinopathy. In most of these cases, the retinopathy is asymptomatic (1-4).Objective: To describe a patient with acute myelogenous leukemia whose initial presentation was a unique entoptic phenomenon.Case Report: A 22-year-old man was referred to the ophthalmology clinic for evaluation of a superior dark semicircular shape in the central vision of his left eye that he had first noted 3 days earlier. The shape was fixed in position with movement of the eye. When the patient leaned forward, the ...References1. Abdul-Rahim AS, Brown SM, Shami MJ. Bilateral retinal hemorrhages in an 18-year-old woman. Surv Ophthalmol. 2002;47:590-3. [PMID: 12504742] CrossrefMedlineGoogle Scholar2. Rosenthal AR. Ocular manifestations of leukemia. A review. Ophthalmology. 1983;90:899-905. [PMID: 6195573] CrossrefMedlineGoogle Scholar3. Schachat AP, Markowitz JA, Guyer DR, Burke PJ, Karp JE, Graham ML. Ophthalmic manifestations of leukemia. Arch Ophthalmol. 1989;107:697-700. [PMID: 2719579] CrossrefMedlineGoogle Scholar4. Reddy SC, Jackson N. Retinopathy in acute leukaemia at initial diagnosis: correlation of fundus lesions and haematological parameters. Acta Ophthalmol Scand. 2004;82:81-5. [PMID: 14738490] CrossrefMedlineGoogle Scholar5. Wechsler DZ, Tay TS, McKay DL. Life-threatening haematological disorders presenting with opthalmic manifestations [Letter]. Clin Experiment Ophthalmol. 2004;32:547-50. [PMID: 15498074] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Caroline Laforest; Dinesh Selva, MBBS; John Crompton, MBBS; Igal Leibovitch, MDAffiliations: From Royal Adelaide Hospital, Adelaide SA 5000, Australia.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 6 December 2005Volume 143, Issue 11Page: 847-848KeywordsAcute myeloid leukemiaHemoglobinHemorrhageLesionsPlateletsRetinopathyVisionVisual acuityVomitingWhite blood cells ePublished: 6 December 2005 Issue Published: 6 December 2005 Copyright & PermissionsCopyright © 2005 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...