A RARE CASE REPORT : MACULAR HAEMORRHAGE AS A COMPLICATION OF MEGALOBLASTIC ANAEMIA

We report a case of 17-year-old female patient with sudden, painless, non progressivediminished vision in both eyes (L>R)(best corrected visual acuity in right eye- 6/18 and left eye - 3/60) . She was on a strict vegetarian diet for a long time. The ophthalmological evaluation revealed bilateral pallor and retinal haemorrhages. She was diagnosed to have severe megaloblastic anaemia secondary to nutritional deficiency with associated anaemic retinopathy.After treatment with intramuscular B12 supplementation, dramatic resolution of retinal haemorrhages and improvement in visual acuity was observed after 6 weeks .This case documents the rare occurrence of bilateral sub internal limiting membrane haemorrhages with megaloblastic anaemia with thrombocytopaenia and other retinal features of anaemic retinopathy.