Bilateral leukocoria in infant with afibrinogenemia.
OBJECTIVE
To report a bilateral leukocoria case in a patient suffering from afibrinogenemia.


METHODS
An observational case where congenital afibrinogenemia was presented with bilateral retinal and vitreous hemorrhages that proceeded to vitreoretinal surgery was presented. In addition, complete ophthalmic and radiological examinations and vitreoretinal surgery were performed.


RESULTS
Right eye had a complete recovery while the left eye showed serious proliferative vitreoretinopathy and shortened retina. Three years after the surgery clinical examination showed that the right eye was aphacic with an attached retina and clear ocular media while the left eye was phtysic.


CONCLUSIONS
We recommend broad clotting profile for infants suffering from vitreous or retinal hemorrhages with no obvious physical abuse. Our present case furthermore implies that afibrinogenemia can lie beneath the pathogenesis of bilateral leukocoria and should alert physician for the presence of an afibrinogenemia among several types of bleeding predispositions.
Demir
M Necati
MN
Ankara Education and Research Hospital, Department of Ophthalmology, Ankara, Turkey.
Acar
Mehmet Akif
MA
Aral
Yusuf Ziya
YZ
Unlü
Nurten
N