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Retinal hemorrhage associated with neonatal idiopathic thrombocytopenia
Samara J Hamou1, Iniya K Adhan2, Maureen E Lloyd2
1Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.
Purpose:
To describe a premature neonate with thrombocytopenia and retinal hemorrhage.
Observation:
A 33 week premature neonate with neonatal thrombocytopenia (34 × 109 platelet) was found to have left eye retinal hemorrhage. Bilateral retinal exam showed a healthy optic nerve and macula. A 10-12 disc diameter large nasal subretinal hemorrhage with an intraretinal white-centered hemorrhage was found. No other retinal abnormalities were found. Resolution of the hemorrhage occurred over the next three months. By this time, thrombocytopenia resolved (final platelet count: 259 × 109/L), and the patient was able to fix and follow.
Conclusions And Importance:
Neonatal thrombocytopenia associated retinal hemorrhage is not commonly reported in the literature. Further research will elucidate whether newborn retinal screening should be recommended for all neonates with thrombocytopenia.
