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Neodymium:YAG laser treatment for a premacular haemorrhage in a T cell lymphoblastic lymphoma patient
  1. C D Gelston1,
  2. A P Ciardella2
  1. 1Department of Ophthalmology, Rocky Mountain Lions Eye Institute, University of Colorado School of Medicine, Denver, CO, USA
  2. 2Department of Ophthalmology, Denver Health Medical Center, Denver, CO, USA
  1. Correspondence to: Antonio P Ciardella MD, Department of Ophthalmology, Denver Health Medical Center, 777 Bannock Street, Mail Code 0156, Denver, CO 80204, USA; antonio.ciardell{at}

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T cell lymphoblastic lymphoma is a high grade non-Hodgkin’s lymphoma commonly found in children and characterised by haematological abnormalities such as anaemia, leucopenia, and thrombocytopenia.1 Although rare, ocular manifestations may result in intraretinal, preretinal, and premacular haemorrhages. Similar to other conditions such as proliferative diabetic retinopathy, Valsalva retinopathy, and retinal macroaneurysms, a premacular haemorrhage may develop, acutely decreasing vision and take several months to spontaneously reabsorb. We report a patient with T cell lymphoblastic lymphoma and a large premacular haemorrhage treated effectively with a neodymium:YAG laser.

Case report

A 21 year old man with a history of stage IV T cell lymphoblastic lymphoma previously treated with chemotherapy consisting of ifosfamide, etoposide, and …

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