Orbital involvement in chronic lymphocytic leukemia: Case report

Background: Orbital involvement in chronic lymphocytic leukemia is extremely rare. Accumulation of leukaemic cells, haemorrhagia or ischemic changes may include the eyeball or the surrounding tissues, causing permanent loss of vision. Advanced chronic lymphocytic leukemia is successfully treated wit...

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Main Authors: Romana Rotdajč, Vlasta Petric
Format: Article
Language:English
Published: Slovenian Medical Association 2012-12-01
Series:Zdravniški Vestnik
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/780
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author Romana Rotdajč
Vlasta Petric
author_facet Romana Rotdajč
Vlasta Petric
author_sort Romana Rotdajč
collection DOAJ
description Background: Orbital involvement in chronic lymphocytic leukemia is extremely rare. Accumulation of leukaemic cells, haemorrhagia or ischemic changes may include the eyeball or the surrounding tissues, causing permanent loss of vision. Advanced chronic lymphocytic leukemia is successfully treated with rituximab.Patients and methods: A case of a 78-year old female with chronic lymphocytic leukemia, with extensive swelling and redness of the left eyelid, bulging eyeball and visual disturbances is reported. We demonstrated infiltration of leukaemic cells in the tissue of the orbit. After the treatment with rituximab clinical signs of eye disability have completely resolved. Conclusions: In patients with chronic lymphocytic leukemia, progression of the disease should be suspected at impairment of the eye and the surrounding tissues. Monotherapy with rituximab can be successful, which is indicated particularly in elderly patients.
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spelling doaj.art-a2c72446680344a080970cdd71ed340b2022-12-22T02:05:15ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242012-12-0181SUPL II659Orbital involvement in chronic lymphocytic leukemia: Case reportRomana RotdajčVlasta PetricBackground: Orbital involvement in chronic lymphocytic leukemia is extremely rare. Accumulation of leukaemic cells, haemorrhagia or ischemic changes may include the eyeball or the surrounding tissues, causing permanent loss of vision. Advanced chronic lymphocytic leukemia is successfully treated with rituximab.Patients and methods: A case of a 78-year old female with chronic lymphocytic leukemia, with extensive swelling and redness of the left eyelid, bulging eyeball and visual disturbances is reported. We demonstrated infiltration of leukaemic cells in the tissue of the orbit. After the treatment with rituximab clinical signs of eye disability have completely resolved. Conclusions: In patients with chronic lymphocytic leukemia, progression of the disease should be suspected at impairment of the eye and the surrounding tissues. Monotherapy with rituximab can be successful, which is indicated particularly in elderly patients.http://vestnik.szd.si/index.php/ZdravVest/article/view/780
spellingShingle Romana Rotdajč
Vlasta Petric
Orbital involvement in chronic lymphocytic leukemia: Case report
Zdravniški Vestnik
title Orbital involvement in chronic lymphocytic leukemia: Case report
title_full Orbital involvement in chronic lymphocytic leukemia: Case report
title_fullStr Orbital involvement in chronic lymphocytic leukemia: Case report
title_full_unstemmed Orbital involvement in chronic lymphocytic leukemia: Case report
title_short Orbital involvement in chronic lymphocytic leukemia: Case report
title_sort orbital involvement in chronic lymphocytic leukemia case report
url http://vestnik.szd.si/index.php/ZdravVest/article/view/780
work_keys_str_mv AT romanarotdajc orbitalinvolvementinchroniclymphocyticleukemiacasereport
AT vlastapetric orbitalinvolvementinchroniclymphocyticleukemiacasereport