Aplastic anemia induced disc edema and visual loss in pregnancy: a case report.
BACKGROUND
A case of aplastic anemia diagnosed during pregnancy, which developed bilateral disc edema and acute pre-retinal hemorrhage leading to vision loss.


METHODS
A 20 year old primagravid female developed acute vision loss in her right eye, during hospitalization for treatment of aplastic anemia diagnosed during her pregnancy. Her best-corrected visual acuity (BCVA) was hand motions and fundus evaluation revealed a large pre-macular hemorrhage in the right eye (OD) and bilateral disc edema. Neuro-imaging studies did not reveal any signs of intracranial mass lesion or edema.


CONCLUSIONS
There was resolution of the disc edema with improvement in the pre-macular hemorrhage resulting in 20/50 vision in the right eye, following supportive transfusions. Ophthalmic manifestations developing in a pregnant patient with aplastic anemia can be successfully managed with supportive care including red blood cell and platelet transfusions.
Gupta
Shailesh K
SK
University of Florida-College of Medicine, Department of Ophthalmology, Jacksonville, Florida, USA. kchalam@jax.ufl.edu.
Brar
Vikram S
VS
Keshavamurthy
Ravi
R
Chalam
Kakarla V
KV