摘要/Abstract

摘要： 患者为16岁女性，因“视力逐渐下降4个月”就诊，眼底检查发现其双眼黄斑区黄白色陈旧出血，右眼颞侧视网膜浅层片状新鲜出血。患者有既往急性髓细胞性白血病（acute myeloid leukemia，AML）骨髓复发史。经血液肿瘤科骨髓移植治疗后，患者于眼科复查发现双眼视力提高、眼底出血吸收。该病例在被确诊为AML复发之前，其视力已有所下降，未及时到眼科就诊。对于白血病患者，医务人员需进行充分宣教，告知可能出现的髓外其他症状，并建议定期到眼科会诊。若有伴发症状出现，建议多学科医师合作诊治，以期获得更好的治疗效果，恢复患者视功能，提高其生存质量。
关键词: 急性髓细胞性白血病, 复发, 白血病视网膜病变, 眼底出血
Abstract:
A 16-year-old female patient was admitted to hospital because of "gradual decline in visual acuity for more than 4 months". Ocular fundus examination revealed yellowish old hemorrhage in the macular area of both eyes, and fresh hemorrhage in the superficial retinal layer of the right eye. The patient had a history of bone marrow recurrence with previous acute myeloid leukemia (AML). After bone marrow transplantation in the Department of Hematology and Oncology, the patient's vision was improved and fundus hemorrhage was absorbed. Before the diagnosis of relapse of AML, the patient's vision had declined, but she did not go to the ophthalmology clinic in time. For leukemia patients, doctors are recommended to carry out adequate education for possible extramedullary symptoms and suggest regular ophthalmology consultations. If concomitant symptoms occur, it is suggested that multidisciplinary doctors should cooperate in diagnosis and treatment in order to obtain better therapeutic effect, restore visual function and improve the quality of life of patients.
Key words: acute myeloid leukemia (AML), recurrence, leukemic retinopathy, fundus hemorrhage


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