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Intraocular infiltration of adult T-cell leukemia
Akira Hirata1, Tomonari Miyazaki, Hidenobu Tanihara
1Department of Ophthalmology, Kumamoto University School of Medicine, Japan. ahirata@kumamoto-u.ac.jp
Purpose:
To report a case of adult T-cell leukemia (ATL) with unilateral dense vitreous opacities that benefited from vitrectomy.
Design:
Interventional case report.
Methods:
Diagnostic vitrectomy was performed on a 59-year-old man with ATL who had vitreous opacity in the right eye.
Results:
White infiltration of the retina was noted after vitrectomy. Cytologic examination of the vitreous specimen obtained during surgery revealed infiltration of ATL cells into the vitreous and retina. After vitrectomy and additional chemotherapy, visual acuity improved in the right eye from 20/100 to 25/20.
Conclusion:
Infiltration of the vitreous and retina by ATL is rare. Diagnostic vitrectomy is effective for treatment and visual improvement.