Bilateral tractional retinal detachment in a patient with hemolytic-uremic syndrome.
Hemolytic uremic syndrome (HUS) is a thrombotic microangiopathy characterized by hemolytic anemia, acute kidney injury, and thrombocytopenia. Ophthalmic manifestations of HUS range from mild, including scattered intraretinal hemorrhages, to severe, including a Purtscher-like retinopathy and iris and optic disk neovascularization (NVD). We report the case of a 23-month-old girl with severe HUS who presented with bilateral dense vitreous hemorrhage. During vitrectomy, optic disk neovascularization and funnel-shaped, tractional detachments of both retinas were observed. To our knowledge, this is the first reported case of tractional retinal detachment in the context of HUS.
Scheie Eye Institute, Department of Ophthalmology, University of Pennsylvania Medical School, Philadelphia, Pennsylvania. Electronic address: harpal.sandhu@uphs.upenn.edu.
Harpal
H
Sandhu
Massachusetts Eye and Ear Infirmary, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Demetrios
D
Vavvas
D005260:Female; D006463:Hemolytic-Uremic Syndrome / Q000150:complications* / Q000628:therapy; D006801:Humans; D007223:Infant; D017713:Platelet Transfusion; D006435:Renal Dialysis; D012163:Retinal Detachment / Q000209:etiology* / Q000601:surgery; D014821:Vitrectomy