A Case of Bilateral Subhyaloid Hemorrhage in a Patient with Megaloblastic Anemia
Keywords:
Subhyaloid Hemorrhage, Megaloblastic anemia
Abstract
A 48-year-old man presented with complains of easy fatigability and progressive pain-less loss of vision in both the eyes. He was diagnosed to have severe anemia due to Vitamin B12 deficiency along with pancytopenia. Fundus examination revealed bilateral Subhyaloid Hemorrhages near macula with multiple Roth’s spots and flame shaped hemorrhages in all the quadrants. He received blood transfusions and intravenous hydoxycobalamine injections. Pancytopenia and vision improved to near normal with just treatment of anemia. This case report emphasizes that prompt and adequate treatment of megaloblastic anemia will improve the retinopathy due to it and prevent further progression of vision loss.
References
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5. Wadood Khan ZA, Vidyasagar S, Bekur R, Belurkars S, Shailaja S. Subhyaloid hemorrhage in a patient with vitamin B12 deficiency: a unique presentation. J ClinSci Res. 2013; 2:161e164.
2. Marwaha RK, Singh S, Garewal G, Marwaha N, Walia BN, Kumar L. Bleeding manifestations in megaloblastic anemia. Indian J Pediatr 1989; 56: 243-7.
3. Lam S, Lam BL. Bilateral retinal hemorrhages from megaloblastic anemia: case report and review of literature. Ann Opthalmol 1992; 24:86-90.
4. Vidya H, Neelam P, Anupama B, Sowmya PD. Subhyaloid hemorrhage in severe dimorphic anemia and thrombocytopenia- a case report. Journal Of Clinical and Diagnostic
Research [Serial Online] 2010 October [Cited: 2010 October 17]; 4:3201-3202.
5. Wadood Khan ZA, Vidyasagar S, Bekur R, Belurkars S, Shailaja S. Subhyaloid hemorrhage in a patient with vitamin B12 deficiency: a unique presentation. J ClinSci Res. 2013; 2:161e164.
Published
2019-09-23
How to Cite
Dhirendra Yadav, D. Y. S. C. , H. T. , R. P. N. D. K. (2019). A Case of Bilateral Subhyaloid Hemorrhage in a Patient with Megaloblastic Anemia. The Indian Practitioner, 72(9), 30-32. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/811
Section
Case Reports
