Sudden Vision Loss as First Clinical Manifestation of Anaemic Retinopathy
ND01-ND03
Correspondence
Dr. Shrinkhal,
Department of Ophthalmology, All India Institute of Medical Sciences, Virbhadra Marg, Rishikesh, Uttarakhand, India.
E-mail: shrinkhalbhu@gmail.com
Anaemia can have devastating results, especially when associated with thrombocytopenia. We report here a case of a 16-year-old girl who presented with chief complaint of sudden, painless, nonprogressive diminution of vision in left eye past one day. Ocular examination revealed bilateral pale conjunctiva, bilateral retinal flame shaped haemorrhages, roth spots and large macular sub hyaloid haemorrhage in left eye. Complete haematological examination revealed severe megalobalstic anaemia (with Haemoglobin 4.4 gm%) with thrombocytopenia. Diagnosis of severe anaemic retinopathy due to megaloblastic anaemia with thrombocytopenia was made and the patient was advised propped up position, prescribed iron, folic acid, vitamin C and B12 supplementation. Patient underwent aggressive treatment of megaloblastic anaemia and was kept on follow-up. On follow-up, the retinal haemorrhage spontaneously resolved with clearance of fovea and the patient gained vision. Urgent diagnosis and management is mandatory in these cases. So, a good screening protocol should be established for the identification of nutritional anaemia in developing countries and compulsory fundus examination to be done of the identified subjects for anaemic retinopathy.