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Year : 2016  |  Volume : 64  |  Issue : 2  |  Page : 157-159

Bilateral macular hemorrhage due to megaloblastic anemia: A rare case report

Department of Ophthalmology, Regional Eye Hospital, Kakatiya Medical College, Warangal, Telangana, India

Correspondence Address:
Dr. Sree Kumar Vaggu
Regional Eye Hospital, Kakatiya Medical College, Warangal - 506 007, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.179720

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We report a case of a 17-year-old female patient who presented with sudden, painless, nonprogressive diminished vision in both eyes (best corrected visual acuity in right eye - 6/60 and left eye - 6/36). An ophthalmological evaluation revealed bilateral pale tarsal conjunctiva and bilateral macular hemorrhage. Hematological evaluation revealed the presence of megalocytic anemia (with hemoglobin - 4.9 g%). General examination showed severe pallor. On systemic examination, no abnormality was detected, confirmed by ultrasonography abdomen. Other causes of severe anemia have been ruled out. Intraocular pressure in both eyes was 12 mmHg. This case documents the rare occurrence of bilateral subinternal limiting membrane macular hemorrhage with megaloblastic anemia without thrombocytopenia and other retinal features of anemic retinopathy.

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