White-centered retinal hemorrhage
Soufiane Berradi, Rajae Daoudi
The Pan African Medical Journal. ;17:233. doi:10.11604/pamj..17.233.4038

Create an account  |  Sign in
Innovations in Measles Elimination Innovations in Measles Elimination
"Better health through knowledge sharing and information dissemination "

Images in clinical medicine

White-centered retinal hemorrhage

Soufiane Berradi, Rajae Daoudi
Pan Afr Med J. 2014; 17:233. doi:10.11604/pamj.2014.17.233.4038. Published 27 Mar 2014



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.


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

©Soufiane Berradi et al. 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.

More images in clinical medicine

 
 
 
 
 
 
 
 
    






PAMJ Images in Medicine and Public Health are archived on Pubmed Central. Access PAMJ archives on PMC here

Volume 33 (May - August 2019)

This image


Share this image:

Filter images [Reset filter]

By language

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2019 - Pan African Medical Journal. All rights reserved