J Korean Ophthalmol Soc.  2003 Jun;44(6):1452-1456.

A Case of Bilateral Retinal Homorrhage Associated with Idiopathic Thrombocytopenic Purpura

• Kim EJ
• Chung IY
• Park JM

Abstract

PURPOSE
Idiopathic thrombocytopenic purpura has bleeding tendency because of severe thrombocytopenia. We report a case of idiopathic thrombocytopenic purpura who showed retinal and preretinal hemorrhage with severe throbocytopenia. METHODS: A 19-year-old girl experienced a sudden onset of metamorphopsia and subconjunctival hemorrhage in both of her eyes two days prior to hospital visit which folowed the neck and lower legs purpura one month ago. We examined slit ramp, fudus and fluorescein angiography. We followed up the patient every week. RESULTS: Her best corrected visual acuity was 0.9, right eye and 0.8, left eye. Fundus exam showed frame-shaped retinal hemorrage around vascular arcade in both eyes. Fluorescein angiography showed blockage of fluorescene caused by retinal hemorrhages. Two weeks later, retinal hemorrhage was nearly absorbed and metamorphopsia was subsided in both eyes.

Keyword

Idiopathic thromobocytopenic purpura; Retinal hemorrhage

MeSH Terms

Architectural Accessibility
Female
Fluorescein Angiography
Hemorrhage
Humans
Leg
Neck
Purpura
Purpura, Thrombocytopenic, Idiopathic*
Retinal Hemorrhage
Retinaldehyde*
Thrombocytopenia
Vision Disorders
Visual Acuity
Young Adult
Retinaldehyde