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Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura.

Authors
  • Wan-Wei, Loo
  • Tengku-Norina, Tuan-Jaffar
  • Azma-Azalina, Ahmad-Alwi
  • Zulkifli, Abdul-Ghani
  • Zunaina, Embong
Type
Published Article
Journal
International medical case reports journal
Publication Date
Jan 01, 2014
Volume
7
Pages
15–17
Identifiers
DOI: 10.2147/IMCRJ.S55017
PMID: 24493935
Source
Medline
Keywords
License
Unknown

Abstract

A 45-year-old female with underlying idiopathic thrombocytopenic purpura (ITP) complained of acute onset of reduced vision and floaters, in both eyes, for 3 weeks. Visual acuity was 6/36 and 6/60 in the right eye and left eye, respectively. Ophthalmoscopy showed bilateral peripapillary, subhyaloid and vitreous hemorrhage. Hematological evaluation revealed moderate anemia (hemoglobin: 93 g/L) and mild thrombocytopenia (platelets: 120×10(9)/L). She was co-managed by a hematologist and ophthalmologists; she was treated medically. Follow-up care during the next 6 weeks revealed spontaneous, partially resolving hemorrhage, with improvement of visual acuity. The purpose of this case report is to highlight ophthalmic involvement of ITP in this patient, despite her only-mild thrombocytopenia, and her spontaneous recovery, despite her receiving only medical treatment.

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