Retinal hemorrhage associated with neonatal idiopathic thrombocytopenia

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 di...

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Bibliographic Details
Main Authors: Samara J. Hamou, Iniya K. Adhan, Maureen E. Lloyd, Barry N. Wasserman
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:American Journal of Ophthalmology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2451993625000635
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Summary: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.
ISSN:2451-9936