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Published on: January 12, 2022
Retinal phlebitis associated with autoimmune hemolytic anemia.
Fiona L M Chew1, Iqbal Tajunisah
1Department of Ophthalmology, University of Malaya, Kuala Lumpur, Malaysia. sabrefrmin@yahoo.co.uk
Ocular Immunology and Inflammation
|December 17, 2009
Summary
This case report details retinal phlebitis, a rare eye condition, linked to autoimmune hemolytic anemia. Prompt treatment with blood transfusion and steroids led to the resolution of this vision-threatening retinopathy.
Area of Science:
- Ophthalmology
- Hematology
- Immunology
Background:
- Autoimmune hemolytic anemia (AIHA) is a condition where the immune system attacks red blood cells.
- Ocular manifestations of AIHA are uncommon, with retinopathy not being widely recognized.
Observation:
- A 44-year-old male with diagnosed AIHA presented with acute bilateral blurred vision.
- Ophthalmic examination revealed bilateral peripheral retinal venous sheathing and cellophane maculopathy.
Findings:
- Fundus fluorescein angiography demonstrated bilateral peripheral venous leakage and submacular fluid.
- The patient's retinal phlebitis resolved after receiving a blood transfusion and systemic corticosteroids.
Implications:
- This case highlights retinal phlebitis as a potential, albeit rare, ocular complication of AIHA.
- Early recognition and management of ocular symptoms in AIHA patients may prevent vision loss.
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