Iron deficiency anemia presenting with macular star.
We report the case of 16-year-old girl who presented with sudden painless decreased vision in her right eye of 5 days' duration. Anterior segment examination in both eyes showed conjunctival pallor. Results of ophthalmoscopic examination and optical coherence tomography were consistent with macular preretinal hemorrhage in both eyes with macular star in the left eye. Hematologic investigation disclosed severe iron deficiency anaemia. After 2 months, with oral substitution therapy with ferrous ascorbate and improved iron levels, the patient's visual acuity improved and macular preretinal hemorrhage resolved in both eyes.
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India. Electronic address: drbhaktit@yahoo.in.
Bhakti P
BP
Trivedi
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India.
Meenakshi
M
Ravindran
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India.
Neelam
N
Pawar
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India.
Rengappa
R
Ramakrishnan
Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India.
Vijaysai
V
Shelke
D000293:Adolescent; D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000188:drug therapy; D004338:Drug Combinations; D005260:Female; D005451:Fluorescein Angiography; D005492:Folic Acid / Q000008:administration & dosage; D006801:Humans; D058085:Iron Compounds / Q000008:administration & dosage; D009748:Nutrition Disorders / Q000175:diagnosis* / Q000188:drug therapy; D009887:Ophthalmoscopy; D012166:Retinal Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000175:diagnosis* / Q000188:drug therapy; D014792:Visual Acuity; D014805:Vitamin B 12 / Q000008:administration & dosage / Q000031:analogs & derivatives
D004338:Drug Combinations; D058085:Iron Compounds; D005492:Folic Acid; C019476:mecobalamin; D014805:Vitamin B 12