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Updated: Mar 31, 2026
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Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
Published on: May 26, 2023
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Iron deficiency anemia presenting with macular star
Bhakti P Trivedi1, Meenakshi Ravindran1, Neelam Pawar1
1Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, South India.
Summary
Severe iron deficiency anemia caused sudden vision loss in a teen. Treatment with iron supplements restored vision and resolved retinal hemorrhages.
Area of Science:
- Ophthalmology
- Hematology
- Pediatrics
Background:
- Sudden vision loss can significantly impact a young patient's quality of life.
- Ocular manifestations of systemic conditions require prompt diagnosis and management.
Observation:
- A 16-year-old female presented with acute, painless decreased vision in her right eye.
- Examination revealed conjunctival pallor, bilateral macular preretinal hemorrhage, and a macular star in the left eye.
Findings:
- Hematologic investigation confirmed severe iron deficiency anemia as the underlying cause.
- Optical coherence tomography (OCT) visualized the macular pathology.
Implications:
- This case highlights the importance of considering systemic causes, like iron deficiency anemia, in young patients with sudden vision loss.
- Prompt treatment of iron deficiency anemia can lead to significant visual recovery and resolution of retinal findings.
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