White-centered retinal hemorrhage
Soufiane Berradi, Rajae Daoudi
The Pan African Medical Journal. 2014;17:233. doi:10.11604/pamj.2014.17.233.4038

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Images in medicine

White-centered retinal hemorrhage

Cite this: The Pan African Medical Journal. 2014;17:233. doi:10.11604/pamj.2014.17.233.4038

Received: 16/02/2014 - Accepted: 23/03/2014 - Published: 27/03/2014

Key words: Retinal hemorrhage, visual acuity, acute lymphoblastic leukemia

© Soufiane Berradi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/17/233/full

Corresponding author: Soufiane Berradi, Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc (soufiane.berradi@hotmail.com)


White-centered retinal hemorrhage

 

Soufiane Berradi1,&, Rajae Daoudi1

 

1Université Mohammed V Souissi, Service d’'Ophtalmologie A de l’'Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

&Corresponding author
Soufiane Berradi, Université Mohammed V Souissi, Service d’'Ophtalmologie A de l’'Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

 

 

Image in medicine

A 37-year-old woman presented with unilateral sudden drop in visual acuity of the right eye up to a week. Anamnesis revealed episodes of fever and headache. Examination showed visual acuity of 20/400 in the right eye and 20/20 in the left eye. The fundus examination showed white-centered retinal hemorrhage (Panel A, black arrow) in his right eye. The white center is due to cellular debris, to capillary emboli or leukemic infiltrates. Angiography showed a mask effect on autofluorescence sequence (Panel B, white arrow). The visual field showed a right central scotoma. The etiological investigation revealed a leukocytosis, anemia and thrombocytopenia, in favor of acute lymphoblastic leukemia which is a malignant disease of hematopoietic tissue characterized by clonal proliferation of hematopoietic precursors derived from the lymphoid lineage. The patient was referred to the hematology department for chemotherapy. Two weeks later, visual acuity recovered to 20/50 in his right eye and hemorrhage significantly regressed.

Figure 1: Panel A, black arrow: Fundus examination showing white-centered retinal hemorrhage in the right eye; Panel B, white arrow: Angiography showing a mask effect on autofluorescence sequence

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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