Bilateral cataract due to ionizing radiation in a patient with acute myeloid leukemia
Keywords:
DeCS, cataract, leukemia, Ocular manifestations, ophthalmologAbstract
Introduction: cataract can occur as a complication of radiation therapy or secondary to prolonged use of steroids in patients suffering from Leukemia.
Case report: the case of a 24-year-old male patient with a history of acute myeloid leukemia was treated with poly-chemotherapy and 6 months later with radiation and autologous transplantation. He attended ophthalmology office 17 years later because of slow and progressive decrease of vision in both eyes. After a meticulous ophthalmologic examination, the presumptive diagnosis of bilateral posterior subcapsular cataract secondary to ionizing radiation is made.
Conclusions: the lens is very sensitive to ionizing radiation; however, it can take many years from exposure before the cataract is clinically manifested. If no other ophthalmologic alterations are associated with the treatment or a complication of an underlying disease, the evolution is satisfactory.
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