Abstract
Purpose: To describe a case of sclerouveitis with exudative retinal detachment in a patient with chronic myelomonocytic leukemia. Observations: An 82-year-old woman with chronic myelomonocytic leukemia (CMML) presented with acute painful right eye redness and decreased visual acuity. Examination revealed right eye anterior and posterior scleritis with exudative retinal detachment, as well as 2+ anterior chamber cell in the right eye and 0.5+ in the left eye. Workup was negative for infectious etiologies and chest imaging revealed no pulmonary nodules. She was treated with prednisolone drops and a tapering course of oral prednisone as she started therapy with ruxolitinib for CMML. Inflammation resolved with treatment, and she remained quiet off steroids while on ruxolitinib. Conclusions and importance: This is the first case report to specifically describe sclerouveitis associated with CMML, despite the known association of this cancer with various inflammatory manifestations. This case demonstrates that CMML may present with scleritis and uveitis, and should be considered as the underlying etiology of inflammatory eye disease in patients with a diagnosis of CMML.
| Original language | English (US) |
|---|---|
| Article number | 101573 |
| Journal | American Journal of Ophthalmology Case Reports |
| Volume | 26 |
| DOIs | |
| State | Published - Jun 2022 |
Bibliographical note
Funding Information:No funding or grant support. The following authors have no financial disclosures: KMN, CLM. All authors attest that they meet the current ICMJE criteria for Authorship. No acknowledgements.
Publisher Copyright:
© 2022 The Authors
Keywords
- Chronic myelomonocytic leukemia
- Eye inflammation
- Masquerade
- Scleritis
- Uveitis
