title: Posthepatitis aplastic anaemia presenting only with bilateral vision loss.
abstract: Aplastic anaemia is pancytopenia with marrow hypocellularity. Hepatitis-associated aplastic anaemia is a varient or aplastic anaemia that follows an acute attack of seronegative hepatitis. Here a case of hepatitis-associated aplastic anaemia presenting with sudden onset of severe simultaneous bilateral vision loss and without any other usual presenting signs is reported. Partial recovery of blood cell count occurred following immunosuppressive therapy. Posterior hyalodotmy helped rapid resolution of premacular subhyaloid haemorrhage. Although bilateral vision loss may rarely be the initial presentation of aplastic anaemia, no such report is known in hepatitis-associated aplastic anaemia. Posthepatitis vision loss needs careful investigation to exclude an underlying haematological disorder.
authors.affiliation: Regional Institute of Ophthalmology, Medical College, Kolkata.
authors.forename: Sambuddha
authors.initials: S
authors.lastname: Ghosh
authors.forename: Pradyot Narayan
authors.initials: PN
authors.lastname: Biswas
authors.forename: Subhalakshmi
authors.initials: S
authors.lastname: Mukhopadhyay
authors.forename: Gautam
authors.initials: G
authors.lastname: Bhaduri
mesh_terms: D000293:Adolescent; D000741:Anemia, Aplastic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D006505:Hepatitis / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D008297:Male; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D013997:Time Factors; D014786:Vision Disorders / Q000175:diagnosis* / Q000209:etiology