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Letter to the Editor
Acute myelogenous leukaemia in an adult presenting with uveitis
  1. HOSSEIN DANESHVAR,
  2. WILLIAM HODGE,
  3. STEVE GILBERG
  1. The University of Ottawa Eye Institute, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada
  1. Dr William Hodge.

https://doi.org/10.1136/bjo.83.7.878f

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    Editor,—Ocular involvement has commonly been reported in patients with acute leukaemias.1-3 Although acute lymphoblastic leukaemia (ALL) may present as uveitis, this presentation has rarely been reported in patients with acute myeloid leukaemia (AML).4 We describe an adult male who initially presented with an anterior uveitis followed by the rapid development of orbital involvement who was subsequently diagnosed with AML.

    CASE REPORT

    A 43 year old man presented to the emergency room with a 5 day history of photophobia and redness of the right eye with a precipitous decrease in vision over the previous 24 hours. He had been seen 2 days earlier by another ophthalmologist and was found to have retinal vasculitis and anterior uveitis. He was started on oral corticosteroids and referred to an internist for systemic examination for the presumptive diagnosis of Behçet’s disease. His medical history was remarkable for anal and mouth abscesses, 2 months before his visit.

    On examination visual acuity was 6/60 right eye and 6/6 left eye. Ocular examination of the left eye was unremarkable. There …

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