Pseudohypopyon: a red flag sign of malignancy
The present case has been published in the Indian Journal of Ophthalmology.

A 6-year-old girl presented with a grayish-white hypopyon and whitish iris infiltration in her left eye. She was a diagnosed case of acute lymphoblastic leukemia (ALL) treated 2 years ago.

Visual acuity was 6/36 and IOP was 34 mmHg. Fundus was normal. Aspiration cytology from aqueous was suggestive of leukemia. A clinical diagnosis of pseudohypopyon was made. She was re-started on chemotherapy. However, she expired within few weeks.

Hypopyon is an uncommon manifestation of ALL. Occurrence of uveitis in a patient of ALL is most likely to be a sign of central nervous system involvement.