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Hemorrhage and Infarction of the Conjunctiva and Orbit in Essential Thrombocythemia
Jaehoon Na1, Soo Youn Choi, Sehyun Baek
1Department of Ophthalmology, Korea University College of Medicine, Seoul, Republic of Korea.
Abstract:
An 82-year-old woman who had a history of essential thrombocythemia presented with ocular pain, bleeding, and decreased visual acuity of the left eye. Orbital computed tomography revealed a relatively well-defined homogenous mass-like lesion in the left subconjunctival and intraconal space. Conjunctival biopsy showed acute inflammation with necrosis, vascular ectasia with thrombosis and hemorrhage. After the treatment with hydroxyurea and anagrelide, her symptom and lesion were markedly improved. Hematologic disorders like essential thrombocythemia should be considered in patients with severe spontaneous bleeding around the eye.
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