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Haemato-oncological Disorders - Ocular Manifestations - KSOS

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190 Kerala Journal of Ophthalmology Vol. XX, No. 2<br />

P H O T O<br />

E S S A Y<br />

<strong>Haemato</strong>-<strong>oncological</strong> <strong>Disorders</strong> -<br />

<strong>Ocular</strong> <strong>Manifestations</strong><br />

Dr. Natasha Radhakrishnan MS DNB MRC Ophth, Dr. Lakshmi Nisha Menon DO,<br />

Dr. Gopal S Pillai MD DNB FRCS, Dr. Anuradha Rao MS<br />

<strong>Ocular</strong> manifestations of hematological malignancies<br />

are protean. They often form the first inkling the patient<br />

and the physician get of these life threatening<br />

conditions. The findings can range from retinal,<br />

preretinal and vitreous haemorrhages, exudates,<br />

vascular occlusions, infiltrations of retina and optic<br />

nerve head, orbit and conjunctiva. Here are some of<br />

these conditions and their ocular findings.<br />

Aplastic Anemia<br />

Subhyaloid haemorrhage with<br />

macular star right eye<br />

Non Hodgkins Lymphoma<br />

Salmon patch in conjunctiva<br />

Vitreous bleed with<br />

subhyaloid hemorrhage<br />

Amritha Institute of Medical Sciences & Research Centre, Edappally,<br />

Cochin 682 026<br />

Erythroid marrow hyperplasia<br />

Roths spots and retinal haemorrhages<br />

Multiple Myeloma<br />

Multiple retinal haemorrhages with vitreous haemorrhage<br />

Lymphoblastic Leukaemia<br />

Lymphoid infiltration of the retina


June 2008 N. Radhakrishnan et al. - <strong>Ocular</strong> <strong>Manifestations</strong> of <strong>Haemato</strong>-<strong>oncological</strong> Malignancies 191<br />

Aplastic anemia Chronic myeloid leukaemia<br />

Macular subhyaloid<br />

haemorrhage<br />

After YAG hyaloidotomy<br />

Retinal haemorrhages<br />

left eye<br />

Haemorrhages,vascular sheathing and exudates<br />

MEDICAL RETINA FELLOWSHIP<br />

AT<br />

CHAKRABARTI EYE CARE CENTRE<br />

TRIVANDRUM<br />

Application invited for one year medical retina fellowship starting in August 2008.<br />

This fellowship will provide comprehensive training in diagnosis and management of<br />

common medical retinal conditions. Training in interpretation of fluorescein angiography,<br />

optical coherence tomography, laser and cryo as well as an exposure to surgical retina<br />

is planned as part of this fellowship. The candidate should have MS/DO/DNB degree<br />

from a recognized institution. Apply with full CV, contact details with two references to<br />

Dr. Meena Chakrabarti<br />

Chakrabarti Eye Care Centre<br />

Kochulloor, Trivandrum-695 011<br />

E-mail: tvm_meenarup@sancharnet.in

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