Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms

The major complications of Philadelphia-negative (Ph-Negative) myeloproliferative neoplasms (MPNs) are thrombosis, haemorrhage and leukemic transformation. As systemic and haematological diseases, MPNs have the potential to affect many tissues and organs. Some complications lead to the diagnosis of...

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Main Authors: Charlotte Liisborg, Hans Carl Hasselbalch, Torben Lykke Sørensen
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/3/573
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author Charlotte Liisborg
Hans Carl Hasselbalch
Torben Lykke Sørensen
author_facet Charlotte Liisborg
Hans Carl Hasselbalch
Torben Lykke Sørensen
author_sort Charlotte Liisborg
collection DOAJ
description The major complications of Philadelphia-negative (Ph-Negative) myeloproliferative neoplasms (MPNs) are thrombosis, haemorrhage and leukemic transformation. As systemic and haematological diseases, MPNs have the potential to affect many tissues and organs. Some complications lead to the diagnosis of MPNs, but other signs and symptoms are often misdiagnosed or neglected as a sign of MPN disease. Therefore, we reviewed the current literature to investigate and delineate the clinical manifestations seen in the eyes of Ph-negative MPN patients. We found that ocular manifestations are common among patients with MPNs. The most frequently described manifestations are due to the consequences of haematological abnormalities causing microvascular disturbances and hyperviscosity. More serious and vision-threatening complications as thrombotic events in the eyes have been repeatedly reported as well. These ocular symptoms may precede more serious extraocular complications. Accordingly, combined ophthalmological and haematological management have the potential to discover these diseases earlier and prevent morbidity and mortality in these patients. Furthermore, routine ophthalmological screening of all newly diagnosed MPN patients may be a preventive approach for early diagnosis and timely treatment of the ocular manifestations.
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spelling doaj.art-fe607fd893a74b73bb7359e562cf75542023-09-03T02:17:49ZengMDPI AGCancers2072-66942020-03-0112357310.3390/cancers12030573cancers12030573Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative NeoplasmsCharlotte Liisborg0Hans Carl Hasselbalch1Torben Lykke Sørensen2Department of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, 4000 Roskilde, DenmarkFaculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, DenmarkDepartment of Ophthalmology, Zealand University Hospital, Vestermarksvej 23, 4000 Roskilde, DenmarkThe major complications of Philadelphia-negative (Ph-Negative) myeloproliferative neoplasms (MPNs) are thrombosis, haemorrhage and leukemic transformation. As systemic and haematological diseases, MPNs have the potential to affect many tissues and organs. Some complications lead to the diagnosis of MPNs, but other signs and symptoms are often misdiagnosed or neglected as a sign of MPN disease. Therefore, we reviewed the current literature to investigate and delineate the clinical manifestations seen in the eyes of Ph-negative MPN patients. We found that ocular manifestations are common among patients with MPNs. The most frequently described manifestations are due to the consequences of haematological abnormalities causing microvascular disturbances and hyperviscosity. More serious and vision-threatening complications as thrombotic events in the eyes have been repeatedly reported as well. These ocular symptoms may precede more serious extraocular complications. Accordingly, combined ophthalmological and haematological management have the potential to discover these diseases earlier and prevent morbidity and mortality in these patients. Furthermore, routine ophthalmological screening of all newly diagnosed MPN patients may be a preventive approach for early diagnosis and timely treatment of the ocular manifestations.https://www.mdpi.com/2072-6694/12/3/573ocular manifestationsocular complicationsphiladelphia-negative myeloproliferative neoplasms
spellingShingle Charlotte Liisborg
Hans Carl Hasselbalch
Torben Lykke Sørensen
Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
Cancers
ocular manifestations
ocular complications
philadelphia-negative myeloproliferative neoplasms
title Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
title_full Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
title_fullStr Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
title_full_unstemmed Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
title_short Ocular Manifestations in Patients with Philadelphia-Negative Myeloproliferative Neoplasms
title_sort ocular manifestations in patients with philadelphia negative myeloproliferative neoplasms
topic ocular manifestations
ocular complications
philadelphia-negative myeloproliferative neoplasms
url https://www.mdpi.com/2072-6694/12/3/573
work_keys_str_mv AT charlotteliisborg ocularmanifestationsinpatientswithphiladelphianegativemyeloproliferativeneoplasms
AT hanscarlhasselbalch ocularmanifestationsinpatientswithphiladelphianegativemyeloproliferativeneoplasms
AT torbenlykkesørensen ocularmanifestationsinpatientswithphiladelphianegativemyeloproliferativeneoplasms