Bilateral hypopyon as the presenting feature of chronic myeloid leukemia.

PURPOSE: To report bilateral hypopyon as an unusual presenting feature of chronic myeloid leukemia (CML).

DESIGN

Observational case report.

METHODS

A 68-year-old male presenting with bilateral hypopyon uveitis underwent hematological investigations and cytology of hypopyon.

RESULTS

Blood smear revealed increased leucocyte count with presence of abnormal cells (myelocytes, band forms, and promyelocytes) suggestive of CML. Cytopathology of hypopyon revealed predominance of lymphocytes and few plasma cells. CML was confirmed by hematological investigations. Patient was initiated on chemotherapy under the care of an oncologist and is stable.

CONCLUSIONS

Elderly patients presenting with hypopyon uveitis should be investigated to rule out masquerade syndrome.