Original article | Volume 17, Article 233, 27 Mar 2014 | 10.11604/pamj.2014.17.233.4038

White-centered retinal hemorrhage

Soufiane Berradi, Rajae Daoudi

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

Received: 16 Feb 2014 - Accepted: 23 Mar 2014 - Published: 27 Mar 2014

Domain: Clinical medicine

Keywords: Retinal hemorrhage, visual acuity, acute lymphoblastic leukemia

©Soufiane Berradi et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Soufiane Berradi et al. White-centered retinal hemorrhage. Pan African Medical Journal. 2014;17:233. [doi: 10.11604/pamj.2014.17.233.4038]

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

Home | Volume 17 | Article number 233

Original article

White-centered retinal hemorrhage

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

White-centered retinal hemorrhage

Original article

White-centered retinal hemorrhage

Original article

White-centered retinal hemorrhage

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Key words

Retinal hemorrhage

Visual acuity

Acute lymphoblastic leukemia

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White-centered retinal hemorrhage