DOI: 10.4103/tjo.tjo-d-23-00187 ISSN: 2211-5056

Bilateral vitreous and retinal hemorrhage associated with immune thrombocytopenic purpura and systemic lupus erythematosus followed by neovascularization

Chen-Wei Lin, Jin-Jhe Wang, Yu-Cheng Chang, Kuan-Jung Chen, Chien-Hsiung Lai, Ching-Lung Chen

Abstract

Systemic lupus erythematosus (SLE) is known for its diverse clinical manifestations, with hematological problems occasionally overlooked due to mild symptoms. This case report presents a 15-year-old girl with bilateral blurred vision resulting from severe retinal and vitreous hemorrhage secondary to SLE. Following the resolution of hemorrhage, neovascularization developed in one eye and was successfully treated with intravitreous injections of ranibizumab. This case highlights the significance of considering blood dyscrasia disorders in cases of intraocular hemorrhage and underscores the ocular manifestations and potential complications associated with SLE. Timely diagnosis and appropriate management are vital for preserving vision in such cases.

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