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By Shaleen Arora
The George Washington University
Co-author(s): Shaleen Arora, BS, William Foos, MD, & Heather De Beaufort, MD, George Washington University, Department of Ophthalmology - Uploaded on Aug 1, 2023.
- Last modified by Joshua Friedman on Aug 7, 2023.
- Rating
- Appears in
- Leukemic Retinopathy
- Condition/keywords
- leukemia, retinopathy, leukemic infiltration, Roth spots
- Photographer
- Camilo Martinez, Childrens National Medical Center, Department of Ophthalmology
- Description
- A 14-year-old female was transferred from an outside hospital with a new diagnosis of B-ALL and WBC of 667,000. Following lumbar puncture, she developed blurry vision and floaters but denied curtaining, flashes, and diplopia. Ophthalmology was consulted to assess for disc edema. Exam revealed visual acuity of 20/100 OD and 20/200 OS. Imaging showed diffuse hemorrhages and Roth spots OU, consistent with leukemic retinopathy. The patient was followed by retinal specialists with spontaneous improvement in visual acuity over three weeks.