In most patients diagnosis of leukaemia has been made before presenting to an ophthalmologist. However, in some patients, ocular symptoms and examination lead to a diagnosis of leukaemia.
In other cases, manifestations may occur during systemic relapse or during a complete remission. The ocular manifestations are ANT segment involvement leukemic infiltrates may involve IDs to cause lid ecchymosis Involve orbits to cause proptosis Spontaneous hyphaema Post segment involvement Retinal greyish nodules may be surrounded by haemorrhage manifest during infiltration Perivascular sheathing may be another manifestation of leukemic infiltrate Roths spots white centred retinal haemorrhage may represent cluster of leukemic cells Rarely pale grey swelling of optic n head may indicate optic nerve infiltration Impending CRV occlusion or intraretinal haemorrhage Retinal lesions are the most common…
