Table 1

Clinical and cytogenetic findings and gene rearrangements/mutations in nine cases of acute leukaemia with ophthalmic manifestations

CaseAge (years)/sexDiagnosisLocationKaryotype/chromosome translocationGene rearrangement/mutationMYB expressionClinical follow-up
15/MBCP-ALLSuperior orbital region (left)*46, XY, t(2;3)(p11;q29)[11]/46 XY [16]No ETV6 rearrangement†+NED after 13 years
29/FBCP-ALLSuperior orbital region (left)*47, XX, t(12;21)(p13;q22),+21ETV6 rearrangement†+NED after 5 years
317/MBCP-ALLBilateral uveal and retinal leukaemic infiltrates, optic nerve invasion (left)NDAETV6 rearrangement†Orbital lesion after 1 year, DOD after 1.3 years
432/MBCP-ALLLeukaemic infiltrate of the iris (right)46, XY [25]NDANDARelapses after 6 and 27 years, ocular lesion after 28 years, DOD after 29 years
51/MAML
FAB M5
Inferior orbital region (left)*46, XY, t(9;11)(p22;q23) [7]KMT2A rearrangement†+NED after 18 years
640/FAML
FAB M4
Orbital region (left)46XX, −7, +11, inv(16)(p13q22)No KMT2A rearrangement†+Orbital lesion after 2 years, DOD after 5 years
768/MAML
FAB M1
Inferior orbital region (left)46, XY [25]No KMT2A rearrangement†+Relapse after 2 years, orbital lesion after 3 years, DOC after 3.5 years
870/FAML
FAB M2
Retinal and subretinal infiltrate (left)NDAFLT3 ITD mutation
NPM1 mutation
NDAOcular lesion after 9 months, relapse 1.5 years, DOD after 2 years
968/FCLL, high-grade transformation to AML FAB M2Choroid, conjunctiva, and anterior orbital region (right)t(8;21)(q22;q22)RUNX1–RUNX1T1
gene fusion
DOD
  • *Primary ophthalmic lesion.

  • †FISH analysis.

  • AML, acute myeloid leukaemia; BCP-ALL, B-cell precursor acute lymphoblastic leukaemia; CLL, chronic lymphocytic leukaemia; DOC, dead of other causes; DOD, dead of disease; F, female; ITD, internal tandem duplication in juxtamembrane domain; M, male; NDA, no data available; NED, no evidence of disease.