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  Vol. 123 No. 11, November 2005 TABLE OF CONTENTS
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  Clinicopathologic Reports, Case Reports, and Small Case Series
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Idiopathic Thrombocytopenic Purpura With Massive Subretinal Hemorrhage

Arch Ophthalmol. 2005;123:1612-1613.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease in which antibodies directed against one’s own platelets cause their peripheral destruction and splenic sequestration, resulting in a low platelet count and, occasionally, bleeding complications. It is a relatively rare disorder, affecting approximately 1 in 10 000 in the general population.1 It is generally considered a benign disease, and most adult patients with ITP are in otherwise good health. Idiopathic thrombocytopenic purpura most often manifests with petechial skin rash, bruising, or mucosal bleeding. Ophthalmic involvement is exceptionally rare.2 We report a life-threatening case of ITP, initially manifesting with visual complaints secondary to massive subretinal hemorrhage.

Report of a Case

A previously healthy, 26-year-old Asian woman was seen with a 5-day history of blurred vision in the left eye. She denied trauma, headache, or toxic exposure. Examination revealed visual acuity of 20/30 OD and counting fingers at 3 ft OS. There was no relative afferent pupillary defect, and . . . [Full Text of this Article]


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AUTHOR INFORMATION
Pulin A. Shah, MD; Sam S. Yang, MD; Wayne E. Fung, MD







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