Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura.
A 45-year-old female with underlying idiopathic thrombocytopenic purpura (ITP) complained of acute onset of reduced vision and floaters, in both eyes, for 3 weeks. Visual acuity was 6/36 and 6/60 in the right eye and left eye, respectively. Ophthalmoscopy showed bilateral peripapillary, subhyaloid and vitreous hemorrhage. Hematological evaluation revealed moderate anemia (hemoglobin: 93 g/L) and mild thrombocytopenia (platelets: 120×10(9)/L). She was co-managed by a hematologist and ophthalmologists; she was treated medically. Follow-up care during the next 6 weeks revealed spontaneous, partially resolving hemorrhage, with improvement of visual acuity. The purpose of this case report is to highlight ophthalmic involvement of ITP in this patient, despite her only-mild thrombocytopenia, and her spontaneous recovery, despite her receiving only medical treatment.
Department of Ophthalmology, Hospital Raja Perempuan Zainab II, Kota Bharu ; Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Loo
L
Wan-Wei
Department of Ophthalmology, Hospital Raja Perempuan Zainab II, Kota Bharu.
Tuan-Jaffar
TJ
Tengku-Norina
Department of Ophthalmology, Hospital Raja Perempuan Zainab II, Kota Bharu.
Ahmad-Alwi
AA
Azma-Azalina
Department of Ophthalmology, Hospital Raja Perempuan Zainab II, Kota Bharu.
Abdul-Ghani
AG
Zulkifli
Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Embong
E
Zunaina
idiopathic thrombocytopenic purpura; subhyaloid hemorrhage; vitreous hemorrhage