Document Type

Report

Publication Date

3-22-2025

Comments

This article is the author's final published version in American Journal of Ophthalmology Case Reports, Volume 38, March 2025, Article number 102310.

The published version is available at https://doi.org/10.1016/j.ajoc.2025.102310.

Copyright © 2025 The Authors

Abstract

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.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

PubMed ID

40226224

Language

English

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