VISUAL-LOSS DUE TO PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY IN A HEART-TRANSPLANT PATIENT

A 59-year-old male heart transplant recipient experienced progressive visual loss following routine cataract surgery with intraocular lens i mplantation. Cranial magnetic resonance (MR) imaging suggested and bra in biopsy confirmed the cause to be progressive multifocal leukoenceph alopathy (PML). The patient died 2 months following cataract surgery. This case illustrates that visual failure may be the initial manifesta tion of PML, and the ophthalmologist should be aware of this central d emyelinating disorder when dealing with immunocompromised patients.