title: [Ocular findings in megaloblastic anemia associated with diabetes. A case report].
abstract: 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.
authors.affiliation: Service d'Ophtalmologie, Hôpital des Forces de Sécurité Intérieure de La Marsa.
authors.forename: Wassim
authors.initials: W
authors.lastname: Hmaied
authors.forename: M Mourad
authors.initials: MM
authors.lastname: Ben Khalifa
authors.forename: Wided
authors.initials: W
authors.lastname: Miled
authors.forename: Heykel
authors.initials: H
authors.lastname: Kamoun
authors.forename: Imène
authors.initials: I
authors.lastname: Ksontini
authors.forename: Salah
authors.initials: S
authors.lastname: Sakka
authors.forename: Lamia
authors.initials: L
authors.lastname: El Fekih
mesh_terms: 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