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NR 1-2/2004
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Nagłe zaniewidzenie
u 11-letniego chłopca w przebiegu ostrej białaczki
limfoblastycznej
Sudden blindness of 11-year
old boy in the course of acute lymphoblastic leukemia
Dorota Pojda-Wilczek1, Ewa
Herba1, Barbara Zatorska1, Wojciech
Jędrzejewski1, Stefan M. Pojda1,
Anna Janik-Moszant2, Halina Bubała2
1 Z Katedry i Oddziału Klinicznego Okulistyki
¦l±skiej Akademii Medycznej w Katowicach, Szpital
Specjalistyczny nr 1 w Bytomiu
Kierownik: prof. dr hab. n. med. Stefan M. Pojda
2 Z Katedry i Kliniki Hematologii Dziecięcej i
Chemioterapii ¦l±skiej Akademii Medycznej w Katowicach, Szpital
Specjalistyczny nr 1 w Bytomiu
Kierownik: prof. dr hab. n. med. Danuta Sońta-Jakimczyk |
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| Summary: |
Purpose: The aim of
this study is to present dramatic ocular manifestation
of acute limfoblastic leukemia.
Material and methods: the 11 years old boy was
hospitalized due to acute leukemia at the Department and
Clinic of Pediatric Hematology, and was referred to
ophthalmic examination because of sudden blindness of
the right eye. General ophthalmic examination and
electrophysiological tests were done.
Results: No light perception of right eye, and
markedly reduced visual evoked responses were caused by
infiltration with great edema in optic nerve and its
surrounding of retina. In spite of the fact, that the
infiltrations disappeared after general therapy, the
vision did not recover at all.
Conclusions: Even intensive treatment may be
ineffective in blindness prevention in severe course of
acute leukemia. |
| Słowa kluczowe: |
ostra białaczka
limfatyczna, objawy okulistyczne. |
| Key words: |
acute lymphoblastic
leukemia, ocular signs. |
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