title: Bilateral macular hemorrhage due to megaloblastic anemia: A rare case report.
abstract: We report a case of a 17-year-old female patient who presented with sudden, painless, nonprogressive diminished vision in both eyes (best corrected visual acuity in right eye - 6/60 and left eye - 6/36). An ophthalmological evaluation revealed bilateral pale tarsal conjunctiva and bilateral macular hemorrhage. Hematological evaluation revealed the presence of megalocytic anemia (with hemoglobin - 4.9 g%). General examination showed severe pallor. On systemic examination, no abnormality was detected, confirmed by ultrasonography abdomen. Other causes of severe anemia have been ruled out. Intraocular pressure in both eyes was 12 mmHg. This case documents the rare occurrence of bilateral subinternal limiting membrane macular hemorrhage with megaloblastic anemia without thrombocytopenia and other retinal features of anemic retinopathy.
authors.affiliation: Department of Ophthalmology, Regional Eye Hospital, Kakatiya Medical College, Warangal, Telangana, India.
authors.forename: Sree Kumar
authors.initials: SK
authors.lastname: Vaggu
authors.forename: Preethi
authors.initials: P
authors.lastname: Bhogadi
mesh_terms: D000293:Adolescent; D000749:Anemia, Megaloblastic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D001803:Blood Transfusion; D003131:Combined Modality Therapy; D005260:Female; D005492:Folic Acid / Q000627:therapeutic use; D006801:Humans; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014786:Vision Disorders / Q000188:drug therapy / Q000209:etiology; D014792:Visual Acuity / Q000187:drug effects; D014805:Vitamin B 12 / Q000627:therapeutic use
chemical_list: D005492:Folic Acid; D014805:Vitamin B 12