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SUBHYALOID HEMORRHAGE IN EVANS SYNDROME
Georges I Guillaume1, Bliss E O'Bryhim1, Surbhi Saini2
1Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, St. Louis, Missouri.
Retinal Cases & Brief Reports
|August 5, 2021
Summary
Evans syndrome, a rare autoimmune disorder, can cause sudden vision loss in children due to subhyaloid hemorrhages. Prompt diagnosis and treatment are crucial for vision recovery.
Area of Science:
- Ophthalmology
- Hematology
- Pediatrics
Background:
- Evans syndrome is a rare autoimmune disorder combining autoimmune hemolytic anemia and immune thrombocytopenia.
- Ophthalmic manifestations of Evans syndrome are rarely reported, especially in pediatric cases.
Observation:
- A 15-year-old female presented with acute, painless vision loss in her right eye.
- Ophthalmic examination revealed bilateral subhyaloid hemorrhages as the cause of vision loss.
Findings:
- The patient received treatment with intravenous steroids followed by hydroxychloroquine.
- Resolution of retinal hemorrhages and improvement in vision were observed after treatment.
Implications:
- Nontraumatic subhyaloid hemorrhage is an uncommon cause of pediatric vision loss.
- Evans syndrome should be considered in the differential diagnosis of pediatric vision loss with concurrent hematologic abnormalities.
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