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Sharath C. Raja, MD; Sharon Fekrat, MD; Thomas B. Connor, Jr, MD
Baltimore, Md

Arch Ophthalmol. 1995;113(4):411-413.

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

The appearance of a unilateral posttraumatic yellow maculopathy resembling Best's macular dystrophy after subretinal and subretinal pigment epithelial hemorrhages has been reported.¹ We describe herein a thrombocytopenic patient in whom bilateral macular vitelliform lesions developed 4 weeks after sustaining preretinal and intraretinal hemorrhages following a Valsalva maneuver.

Report of a Case.

A 31-year-old black woman with an unremarkable medical and ocular history presented with a 1-week history of menorrhagia, fatigue, and decreased visual acuity in both eyes. Her visual acuity acutely deteriorated bilaterally after attempting to move a refrigerator; visual acuity 1 month prior to this episode was 20/20 OU. She was admitted to the medical intensive care unit of The Johns Hopkins Hospitals with a hematocrit of 0.24 and a platelet count of 16x10⁹/L. The diagnosis of Di Guglielmo's syndrome (autoimmune-mediated destruction of erythrocytes and platelets) was made after the evaluation of bone marrow aspirate and . . . [Full Text PDF of this Article]

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