Korean Journal of Optometry and Vision Science 2007;6(1):63-67.
Published online December 20, 2007.
골수이형성증후군 환자에서 발생한 안와염증, 시신경유두부종과 삼출성 망막박리
김명진, 황영훈, 김재석, 이주화
1HanGil Eye Hospital, Incheon, 2Department of Ophthalmology, Inje University Seoul Paik Hospital,3Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea
Orbital Inflammation, Papilledema, and Exudative RetinalDetachment in Myelodysplastic Syndrome
Myung Jin Kim, Young Hoon Hwang, Jae Suk Kim, Joo Hwa Lee
Abstract
Purpose
To report a case of orbital inflammation, papilledema, and exudative retinal detachment in myelodysplastic syndrome patient. Methods: A 63-year-age man with myelodysplastic syndrome visited our clinic due to proptosis and ocular pain in the left eye. Uncorrected visual acuity of his left eye was 0.6. Lid edema, chemosis, and subconjunctival hemorrhage were revealed in the left eye. Orbit computerizd tomography scan showed lid swelling, proptosis and inflammation of retrobulbar area in the left eye. After admission, instillation of levofloxacin and fluorometholone acetate 0.1% 4 times a day with systemic antibiotics was started. Results: Although lid edema, chemosis and subconjunctival hemorrhage were resolved, visual acuity of left eye was decreased at 7th day of admission. Papilledema, exudative retinal detachment were noted. Magnetic resonance imaging (MRI) scan images of brain were obtained because of worsened mental status. MRI scan showed left cerebral infarction with left middle cerebral artery stenosis. At 16th day of admission, the patient expired in spite of medical and ophthalmological treatment. (Korean J Optom Vis Sci 2007;6(1):63-67)
Key Words: Exudative retinal detachment, Myelodysplastic syndrome, Orbital inflammation, Papilledema
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