Oman Journal of Ophthalmology

LETTER TO THE EDITOR
Year
: 2011  |  Volume : 4  |  Issue : 3  |  Page : 152-

Optic nerve infiltration in relapse of acute lymphoblastic leukemia


Mohammad Javed Ali, Santosh G Honavar 
 Ocular Oncology Service, L. V. Prasad Eye Institute, Hyderabad, India

Correspondence Address:
Santosh G Honavar
Ocular Oncology Service, L. V. Prasad Eye Institute, Road No. 2, Banjara Hills, Hyderabad - 500 034
India




How to cite this article:
Ali MJ, Honavar SG. Optic nerve infiltration in relapse of acute lymphoblastic leukemia.Oman J Ophthalmol 2011;4:152-152


How to cite this URL:
Ali MJ, Honavar SG. Optic nerve infiltration in relapse of acute lymphoblastic leukemia. Oman J Ophthalmol [serial online] 2011 [cited 2021 Apr 11 ];4:152-152
Available from: https://www.ojoonline.org/text.asp?2011/4/3/152/91277


Full Text

Sir,

We greatly appreciate the prompt response of Bandhopadhyay et al. to the queries raised in our article "Optic nerve infiltration in relapse of acute lymphoblastic leukemia." [1]

We totally agree with the authors that unilateral optic nerve infiltration in leukemia may occur in the presence of normal complete blood count and bone marrow examination. But this is still very rare even if we go along with the notion that such cases are underreported. Such cases are exceptional rather than regular for obvious reasons. We do, however, agree like many others [2],[3] that periodic ophthalmic examinations should be conducted in patients with acute leukemia.

We thank the authors for providing an explanation for the possible causes of subnormal vision in such patients and also for appropriately highlighting the radiological features of central nervous system of the case reported by them. [4]

References

1Ali MJ, Honavar SG. Optic nerve infiltration in relapse of acute lymphoblastic leukemia. Oman J Ophthalmol 2011;4:40.
2Shields JA, Shields CL. Intraocular leukemia. In: Shields JA, Shields CL, editors. Intraocular Tumors- A Text and Atlas. 2 nd ed. Philadelphia: Lippincott Williams and Wilkins; 2007. p. 530-4.
3Kassam F, Gale JS, Sheidow TG. Intraocular leukemia as a primary manifestation of relapsing acute myelogenous leukemia. Can J Ophthalmol 2003;38:613-6.
4Bandyopadhyay S, Das D, Das G, Gayen S. Unilateral optic nerve infiltration as an initial site of relapse of acute lymphoblastic leukemia in remission. Oman J Ophthalmol 2010;3:153-4.