A Case of Bilateral Retinal Homorrhage Associated with Idiopathic Thrombocytopenic Purpura.
- Author:
Eon Jeong KIM
1
;
In Young CHUNG
;
Jong Moon PARK
Author Information
1. Department of Ophthalmology, Gyeongsang National University Hospital College of Medicine, Chinju, Korea. in0@netian.com
- Publication Type:Case Report
- Keywords:
Idiopathic thromobocytopenic purpura;
Retinal hemorrhage
- MeSH:
Architectural Accessibility;
Female;
Fluorescein Angiography;
Hemorrhage;
Humans;
Leg;
Neck;
Purpura;
Purpura, Thrombocytopenic, Idiopathic*;
Retinal Hemorrhage;
Retinaldehyde*;
Thrombocytopenia;
Vision Disorders;
Visual Acuity;
Young Adult
- From:Journal of the Korean Ophthalmological Society
2003;44(6):1452-1456
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Idiopathic thrombocytopenic purpura has bleeding tendency because of severe thrombocytopenia. We report a case of idiopathic thrombocytopenic purpura who showed retinal and preretinal hemorrhage with severe throbocytopenia. METHODS: A 19-year-old girl experienced a sudden onset of metamorphopsia and subconjunctival hemorrhage in both of her eyes two days prior to hospital visit which folowed the neck and lower legs purpura one month ago. We examined slit ramp, fudus and fluorescein angiography. We followed up the patient every week. RESULTS: Her best corrected visual acuity was 0.9, right eye and 0.8, left eye. Fundus exam showed frame-shaped retinal hemorrage around vascular arcade in both eyes. Fluorescein angiography showed blockage of fluorescene caused by retinal hemorrhages. Two weeks later, retinal hemorrhage was nearly absorbed and metamorphopsia was subsided in both eyes.
