Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
| Autor: | Embong Zunaina, Ahmad-Alwi Azma-Azalina, Tuan-Jaffar Tengku-Norina, Abdul-Ghani Zulkifli, Loo Wan-Wei |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
vitreous hemorrhage Visual acuity subhyaloid hemorrhage genetic structures Medical treatment medicine.diagnostic_test business.industry Anemia Case Report General Medicine medicine.disease Thrombocytopenic purpura eye diseases Surgery Ophthalmoscopy idiopathic thrombocytopenic purpura hemic and lymphatic diseases Vitreous hemorrhage Medicine Platelet medicine.symptom Hematologist business |
| Zdroj: | International Medical Case Reports Journal |
| ISSN: | 1179-142X |
| DOI: | 10.2147/imcrj.s55017 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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