Unilateral serous retinal detachment in a child with recurrent acute lymphoblastic leukemia

Author: Iatissam Elbelhadji (Morocco)

Co-authors: Jinane Ibensouda, Rayad Rachid, Adil Mchachi, Leila Benhmidoune, Mohamed Elbelhadji

Purpose

The aim of this report is to describe the case of a child with acute lymphoblastic leukemia who developed a unilateral serous retinal detachment as a sign of recurrence.

Setting/Venue

Adults Ophthalmology Department, 20 Août 1953 Hospital, Ibn Rochd University Hospital, Casablanca

Methods

We report the case of an 8-years-old child, with a history of acute lymphoblastic leukemia treated with chemotherapy (MARALL protocol) two years prior, who was addressed to the ophthalmology clinic for vision loss of the right eye (OD).

Results

Ophthalmologic examination revealed a visual acuity of light perception (OD), the anterior segment was unremarkable and the fundoscopy revealed a total bullous retinal detachment. The examination of the left eye was unremarkable. Angiography showed the anterior retinal detachment of the right eye and was normal in the left eye. Visual evoked potential test showed the absence of response of the right eye. Peripheral blood smears revealed leukocytosis with 20% lymphoblasts. Hematologists concluded to a relapse and started a new round of chemotherapy.

Conlusions

In conclusion, although rare, retinal detachments may be a manifestation of acute lymphoblastic leukemia, and in this case, of a recurrence of the disease. Thus, ophthalmologists should consider a thorough systemic evaluation to establish serous retinal detachment etiologies especially in children.

Financial Disclosure

None