Two Cases of Retinal Hemorrhage in Alcoholic Cirrhosis.

Kim, Young Shin; Seo, Du Ri; Han, Jung Woo; Park, Tae Kwann; Ohn, Young Hoon

doi:2015.56.8.1284

J Korean Ophthalmol Soc > Volume 56(8); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(8):1284-1288.
DOI: https://doi.org/10.3341/jkos.2015.56.8.1284 Published online August 15, 2015.

Two Cases of Retinal Hemorrhage in Alcoholic Cirrhosis.

Young Shin Kim, Du Ri Seo, Jung Woo Han, Tae Kwann Park, Young Hoon Ohn

¹Department of Ophthalmology, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
²Department of Ophthalmology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. yhohn@schmc.ac.kr

알코올성 간경화에서 발생한 망막출혈 2예

김영신¹⋅서두리¹⋅한정우²⋅박태관²⋅온영훈²

순천향대학교 의과대학 서울병원 안과학교실¹, 순천향대학교 의과대학 부천병원 안과학교실²

Received: 21 November 2014 • Revised: 16 March 2015 • Accepted: 4 June 2015

Abstract

PURPOSE
To report 2 cases of retinal hemorrhage due to anemia and thrombocytopenia in patients with alcoholic cirrhosis. CASE SUMMARY: (Case 1) A 45-year-old female with alcoholic cirrhosis who was treated in the gastroenterology department presented with reduced vision in both eyes. Fundus examination showed multiple preretinal and subretinal hemorrhages with macular involvement in both eyes. Hematological findings revealed severe anemia and thrombocytopenia. One month after the transfusion treatment her visual acuity was improved and retinal hemorrhages resolved. (Case 2) A 47-year-old male presented with painless loss of vision in the left eye 3 days after orthotopic liver transplantation for the treatment of alcoholic cirrhosis. Fundus examination showed preretinal hemorrhages in both eyes with macular involvement in the left eye. During the transplantation, hematological findings revealed severe anemia and thrombocytopenia. Three months after the transfusion treatment his visual acuity was improved and retinal hemorrhages nearly completely resolved. CONCLUSIONS: Hematological abnormalities due to alcoholic cirrhosis can cause retinal hemorrhage. In the present cases the retinal hemorrhages were resorbed and the visual acuity recovered.

Key Words: Alcoholic cirrhosis;Liver transplantation;Retinal hemorrhage