Leukemic Optic Neuropathy: Believe Your Eyes

Update Item Information
Identifier 20230312_nanos_posters_139
Title Leukemic Optic Neuropathy: Believe Your Eyes
Creator May Ameri; Nagham Al-Zubidi; Noor Laylani; Pamela Davila; Andrew Lee
Affiliation (MA) McGovern - Houston, TX; (NA) MD Anderson Cancer Center; (NL) (PD) Houston Methodist Hospital; (AL) Center for Space Medicine, Baylor College of Medicine, Houston, Texas; Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas; The Houston Methodist Research Institute, Houston Methodist Hospital, Houston, Texas; Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine, New York, New York; Department of Ophthalmology, University of Texas Medical Branch, Galveston, Texas; University of Texas MD Anderson Cancer Center, Houston, Texas; Texas A&M College of Medicine, Texas; Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa
Subject Optic Neuropathy; Optic Nerve Trauma and Treatment
Description Papilledema, or swelling of the optic nerve, is common in patients with leukemia. It is an unspecified diagnosis that can be related to several underlying conditions including leukemic infiltrates causing elevated intracranial pressure, prolonged corticosteroid therapy, or tumor infiltrates of the orbit or optic nerve. There can also be disk edema due to leukemic infiltration of the optic nerve head, causing swelling and pallor independently of elevated intracranial pressure. What is most concerning about papilledema due to leukemic infiltrates is that it depends upon seasoned clinical judgment given that diagnostic testing including CSF studies and imaging can be negative. Given its insidious nature, this can lead to devastating and irreversible consequences including blindness for patients.A review of 92 cases of optic neuropathy in leukemia patients found over 35 were deemed to be from leukemic optic neuropathy (LON).
Date 2023-03-14
Language eng
Format application/pdf
Type Text
Source 2023 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2023: Poster Session I: Disorders of the Anterior Visual Pathway (Retina, Optic Nerve, and Chiasm)
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2023. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6spxqn0
Setname ehsl_novel_nam
ID 2335345
Reference URL https://collections.lib.utah.edu/ark:/87278/s6spxqn0
Back to Search Results