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Scholars Journal of Medical Case Reports | Volume-12 | Issue-06
A Case Report of Spontaneous Retrohyaloid Hemorrhage That Revealed Immune Thrombocytopenic Purpura
Tebay Nadaa, Hazil Zahira, Krichene Mohamed Amine, Hassina Salma, Akkanour Younes, Serghini Louai, Abdallah Elhassan
Published: June 4, 2024 |
58
45
DOI: 10.36347/sjmcr.2024.v12i06.010
Pages: 1017-1019
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Abstract
Retrohyaloidal hemorrhage, is a localized blood collection that typically forms between the internal limiting membrane and the posterior hyaloid. It is a common side effect of several retinal diseases, including retinal artery macroaneurysms and proliferative diabetic retinopathy. It can also, less frequently, result after a Valsalva maneuver. We describe the case of a 28-year-old female patient who presented to the ophthalmological emergency room due to a rapid, painless decrease in visual acuity in her left eye. Upon inspection, the examination revealed a general clinical anemic condition and a retro-hyaloid and intra retinal hemorrhages. Our work's goal is to highlight the semiological significance of a unilateral decline in visual acuity when a hemorrhagic condition is present. Retro-hyaloid hemorrhage should be suspected in cases with hemorrhagic syndrome, which is typically connected to severe anemia. This needs to lead to an urgent etiological evaluation so that an immune thrombocytopenic purpura can be diagnosed.