A Case of Bilateral Retinal Homorrhage Associated with Idiopathic Thrombocytopenic Purpura.

Kim, Eon Jeong; Chung, In Young; Park, Jong Moon

Case Report

Journal of the Korean Ophthalmological Society 2003;44(6):1452-1456.
Published online June 1, 2003.

A Case of Bilateral Retinal Homorrhage Associated with Idiopathic Thrombocytopenic Purpura.

Eon Jeong Kim, In Young Chung, Jong Moon Park

Department of Ophthalmology, Gyeongsang National University Hospital College of Medicine, Chinju, Korea. in0@netian.com

특발성 혈소판 감소성 자반증 환자에서 양안 망막출혈 1예

김언정 ( Eon Jeong Kim ) , 정인영 ( In Young Chung ) , 박종문 ( Jong Moon Park )

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.

Key Words: Idiopathic thromobocytopenic purpura;Retinal hemorrhage