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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 a...

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Autores principales: Wan-Wei, Loo, Tengku-Norina, Tuan-Jaffar, Azma-Azalina, Ahmad-Alwi, Zulkifli, Abdul-Ghani, Zunaina, Embong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908908/
https://www.ncbi.nlm.nih.gov/pubmed/24493935
http://dx.doi.org/10.2147/IMCRJ.S55017
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author Wan-Wei, Loo
Tengku-Norina, Tuan-Jaffar
Azma-Azalina, Ahmad-Alwi
Zulkifli, Abdul-Ghani
Zunaina, Embong
author_facet Wan-Wei, Loo
Tengku-Norina, Tuan-Jaffar
Azma-Azalina, Ahmad-Alwi
Zulkifli, Abdul-Ghani
Zunaina, Embong
author_sort Wan-Wei, Loo
collection PubMed
description 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.
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spelling pubmed-39089082014-02-03 Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura Wan-Wei, Loo Tengku-Norina, Tuan-Jaffar Azma-Azalina, Ahmad-Alwi Zulkifli, Abdul-Ghani Zunaina, Embong Int Med Case Rep J Case Report 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. Dove Medical Press 2014-01-24 /pmc/articles/PMC3908908/ /pubmed/24493935 http://dx.doi.org/10.2147/IMCRJ.S55017 Text en © 2014 Wan-Wei et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Wan-Wei, Loo
Tengku-Norina, Tuan-Jaffar
Azma-Azalina, Ahmad-Alwi
Zulkifli, Abdul-Ghani
Zunaina, Embong
Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title_full Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title_fullStr Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title_full_unstemmed Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title_short Spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
title_sort spontaneous bilateral peripapillary, subhyaloid and vitreous hemorrhage with only minor platelet deficit in idiopathic thrombocytopenic purpura
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3908908/
https://www.ncbi.nlm.nih.gov/pubmed/24493935
http://dx.doi.org/10.2147/IMCRJ.S55017
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