Dr.Prasoon Pradeep

Dr.Madhu Kumar R., Dr.Ashok Kanakamedala, Dr.Jayamadhury Gudimetla

Abstract

A gentleman in his late 30s presented with diminution of vision in both eyes for 1 month following an episode of hospital admission for malaise. He was found to have anaemia which was corrected with blood transfusion and referred to our centre. On examination, he was found to have bilateral sub-Internal limiting membrane (ILM) bleed for which he underwent vitrectomy as it was non-clearing since 1 month and because Nd:YAG may not have been possible due to the longer duration. His vision improved to 6/6 at 1-month post-surgery with only a mild outer retinal layer loss seen on OCT. As anaemia is common in India, many cases of anaemic retinopathy are seen in retina clinics and some present with pre-macular haemorrhages which results in vision loss. In bilateral pre-macular haemorrhages, which might be debilitating to the patient, vitrectomy may be performed and can result in good visual recovery.