Reactions 1680, p105 - 2 Dec 2017 Optic neuropathy and bull’s eye maculopathy: case report A 50-year-old man developed optic neuropathy and bull’s eye maculopathy during treatment with cytarabine and daunorubicin [dosages not stated]. The man, who had a history of acute myeloid leukaemia, received treatment with IV cytarabine and daunorubicin. After three cycles of cytarabine and daunorubicin, he experienced an abrupt decrease in vision in his left eye. The man started receiving treatment with prednisolone. Later, the treatment was discontinued. Six weeks after the appearance of symptoms, his best corrected visual acuity was 20/20 in the right eye and 20/30 in the left eye. Colour vision was defective in both the eyes. A relative afferent pupillary defect was noted in his left eye. There was pallor of both the optic discs with a cup-to-disc ratio of 0.3. An early ’bull’s eye’ pattern was noted in both the eyes. Automated perimetry showed peripheral depressed points in the right eye and constriction of the visual field in the left eye with a small temporal island of vision. Optical coherence tomography (OCT) demonstrated thinning of the retinal nerve fibre layer in both the eyes. The OCT of the macula revealed thinning and alteration of the foveal contour in both the eyes. Fundus fluorescein angiography showed window defects with mottled hyper fluorescence in the para foveal region in both the eyes. Disc staining was observed in both the eyes. He was diagnosed with chemotherapy induced optic neuropathy with maculopathy [durations of treatments to reactions onset not stated]. He received different chemotherapy treatment secondary to bone marrow transplantation. At follow-up, he showed no worsening of vision or progression of optic nerve and macular changes. Author comment: "We report a case of Presumed Chemotherapy-Induced optic neuropathy and maculopathy secondary to treatment with cytarabine and daunorubicin for Acute Myeloid Leukaemia (AML)." Mathew DJ, et al. Presumed chemotherapy-induced optic neuropathy and maculopathy: A case report. Open Ophthalmology Journal 11: 298-304, Sep 2017. Available from: URL: http://doi.org/10.2174/1874364101711010298 - India 803285172 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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