OCULAR MANIFESTATIONS IN PATIENTS WITH ANAEMIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 50
Abstract
BACKGROUND Anaemia is a haematologic disorder presenting with ocular manifestations. It can affect all parts of the eye and adnexa, conjunctival pallor and retinopathy being common manifestations of nutritional anaemia. Retinal damage occurs due to hypoxia, venous stasis, angiospasm and increased capillary permeability. Incidence of retinopathy is increased with severity of anaemia. The main aim of the study is to observe the involvement of different parts of the eye in anaemia and the eye manifestations in anaemia. The study included 120 patients diagnosed with anaemia due to various aetiologies. MATERIALS AND METHODS In this hospital-based cross-sectional study, 120 patients attending the medical outpatient in Gandhi Hospital, Secunderabad diagnosed with anaemia between July 2016-June 2018 were selected. All the patients were subjected to physical examination and complete blood picture. The patients with anaemia were identified and detailed ocular examination was done. Patients with positive fundus findings were subjected to fundus photographs with Topcon fundus camera. All the patients attending the medical outpatient department in Gandhi Hospital, Secunderabad, diagnosed with anaemia during the study period of 2 years from July 2016-June 2018 were included and thereby a sample size of 120 patients was considered as study population based on convenience sampling. Patients with Diabetes and Hypertension were excluded from the study. RESULTS Conjunctival pallor is the commonest finding observed in patients (93.3%) out of 120 patients. Superficial retinal haemorrhages in (34.1%) out of 120 patients. Deep retinal haemorrhages in (29.1%). Posterior pole pallor in (46.6%) patients out of 120 patients. Incidence of retinopathy is high in patients with severe anaemia and thrombocytopenia. CONCLUSION Anaemia can cause various ocular manifestations. Patients presenting with conjunctival pallor should be investigated for anaemia. Patients with moderate-to-severe anaemia should be subjected to fundus examination, as it may be associated with anaemic retinopathy. Severity of retinal haemorrhages depends on the severity of anaemia. Early diagnosis of anaemic retinopathy helps in early treatment of anaemia and thus resolution of retinal haemorrhages.
Authors and Affiliations
Elisha Raju V, Malleswari B.
Keywords
Related Articles
- EP ID EP549258
- DOI 10.14260/jemds/2018/1180
- Views 87
- Downloads 0
SURGICAL SITE INFECTION FOLLOWING LOWER SEGMENT CAESAREAN SECTION IN A TERTIARY CARE HOSPITAL
AIM OF THE STUDY To identify infection rates and risk factors associated with Surgical Site Infection (SSI) following Caesarean Section. DESIGN OF THE STUDY Case control study. PLACE OF STUDY Academic Tertiary...
STUDY OF CLINICO-PATHOLOGICAL PROFILE, RADIOLOGICAL PATTERN OF NEW SMEAR POSITIVE (CATEGORY I) PULMONARY TUBERCULOSIS RIFAMPICIN-RESISTANT PATIENTS IN SRMSIMS
BACKGROUND Tuberculosis (TB) is a curable and preventable disease, which is caused by Mycobacterium TB (MTB). It most commonly affects the lungs, but can potentially involve any system or organ of the body. It is estimat...
A COMPARATIVE STUDY OF LAPAROSCOPIC VENTRAL HERNIA REPAIR WITH AND WITHOUT CLOSURE OF HERNIAL DEFECT
BACKGROUND Despite the developments in laparoscopic repair of ventral hernia, some problems in this repair still persist. In addition to recurrence and postoperative pain, the problem of seroma with persistent postoperat...
CLINICAL PROFILE OF DENGUE FEVER IN PAEDIATRIC PATIENTS IN A TERTIARY CARE HOSPITAL
Prevalence of dengue has been steadily increasing over last few years in South East Asia including India. Increased number of epidemics has been reported in last few years (WHO 2008). Usually dengue viral infection is se...
A CLINICO-MICROBIOLOGICAL STUDY OF OSTEOMYELITIS IN A TERTIARY CARE HOSPITAL IN KARNATAKA
BACKGROUND Bone and joint infections are painful for patients and frustrating for both doctors and patients. Osteomyelitis presents a variety of challenges to the physician. The severity of the disease is staged...