Article Text


Compression of the optic chiasm due to a lymphoreticular malignancy.
  1. R. S. Howard,
  2. A. S. Duncombe,
  3. C. Owens,
  4. E. Graham
  1. Department of Medical Ophthalmology, St. Thomas' Hospital, London, UK.


    A patient is described who presented with visual loss due to infiltration of the optic chiasm by chronic lymphocytic leukaemia. This case demonstrates intracranial infiltration as a primary presentation of chronic lymphocytic leukaemia without lymphoreticular involvement and, to our knowledge, is the first report of a chiasmal syndrome due to this lymphoproliferative disorder.

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