[Ocular findings in megaloblastic anemia associated with diabetes. A case report].
Ocular involvements of Biermer's anaemia are rarely reported in literature. We present a case of Biermer's anaemia associated with diabetes. Ocular examination showed important conjinctival paleness, diffuse retinal ischemia, Roth's tasks, macular oedema and ischemic optic neuropathy. The patient was treated with vitamin B12 intramusculary. A month later, on examination, we noted a regression of optic neuropathy, the aggravation of ischemic retinopathy and persistence of macular oedema. The patient was treated with laser photocoagulation. The majority of ocular manifestations are reversible if treatment is underlaken early. The combination of diabetes with Biermer's anemia deteriorates the ischemic retinopathy and aggavates its prognosis.
Hmaied
Wassim
W
Service d'Ophtalmologie, Hôpital des Forces de Sécurité Intérieure de La Marsa.
Ben Khalifa
M Mourad
MM
Miled
Wided
W
Kamoun
Heykel
H
Ksontini
Imène
I
Sakka
Salah
S
El Fekih
Lamia
L
D000368:Aged; D000749:Anemia, Megaloblastic / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D006801:Humans; D008028:Light Coagulation; D008297:Male