Goel Neha, Arora Supriya, Jain Pooja, Ghosh Basudeb
Guru Nanak Eye Centre, Maulana Azad Medical College, New Delhi, India.
Clin Exp Optom. 2014 May;97(3):270-3. doi: 10.1111/cxo.12072. Epub 2013 Jun 13.
A 21-year-old woman presented with acute decreased vision due to massive subretinal haemorrhage with macular exudation in the right eye and vitreous haemorrhage in the left eye. Haematological work-up revealed thrombocytopenia (platelets 14,000/μl) with anaemia (haemoglobin 6.3 gm/100 ml). A diagnosis of idiopathic thrombocytopenic purpura (ITP) was confirmed by a haematologist. Systemic therapy resulted in dramatic resolution of the fundus features with near complete restoration of visual acuity over three months. ITP can present with intraocular haemorrhages, especially if accompanied by anaemia. A high index of suspicion and appropriate systemic treatment can lead to a successful outcome.
一名21岁女性因右眼大量视网膜下出血伴黄斑渗出及左眼玻璃体积血而出现急性视力下降。血液学检查显示血小板减少（血小板计数14,000/μl）伴贫血（血红蛋白6.3 g/100 ml）。血液科医生确诊为特发性血小板减少性紫癜（ITP）。全身治疗使眼底病变显著消退，视力在三个月内几乎完全恢复。ITP可伴有眼内出血，尤其是伴有贫血时。高度的怀疑指数和适当的全身治疗可带来成功的结果。
