@article{Takahashi_Tampo_Makino_2023, place={Boston, Massachusetts, USA}, title={Kissing choroidal detachment in acute lymphoblastic leukemia}, volume={29}, url={https://djo.harvard.edu/index.php/djo/article/view/184}, abstractNote={<p>The presence of serous retinal detachment as a sign of choroidal infiltration, although extremely rare, can be a manifestation of acute leukemia. A 6-year-old boy with T-cell acute lymphoblastic leukemia was referred to the Department of Ophthalmology of Jichi Medical University for a week-long history of blurry vision. He had been undergoing chemotherapy for leukemia for the previous week. Routine visual acuity measurements were not feasible, because the examination was performed at a bedside visit. Ophthalmoscopic examination revealed marked pre- and intraretinal hemorrhages overlying the optic disc (arrow) associated with “kissing” choroidal detachment in the right eye. A complete blood count result showed a white-cell count of 398,200/mm3 (reference range, 3300–8600/mm3), with 95% blasts, a red-cell count of 3,980,000/mm3 (reference range, 4,350,000–5,550,000/mm3), hemoglobin level of 10.7 g per deciliter (reference range, 13.7-16.8), and a platelet count of 99,000/mm3 (reference range, 158,000–348,000/mm3). Vitreous hemorrhage developed after 2 months, and his visual acuity decreased to light perception in the right eye.</p>}, number={1}, journal={Digital Journal of Ophthalmology}, author={Takahashi, Hironori and Tampo, Hironobu and Makino, Shinji}, year={2023}, month={Mar.} }