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Retinal hemorrhage associated with neonatal idiopathic thrombocytopenia

Year: 2025

Type: article

Abstract: To describe a premature neonate with thrombocytopenia and retinal hemorrhage. A 33 week premature neonate with neonatal thrombocytopenia (34 × 10 9 platelet) was found to have left eye retinal hemorrhage. Bilateral retinal exam showed a healthy optic nerve and macula. A 10–12 disc diameter large nasal subretinal hemorrhage with an intraretinal white-centered hemorrhage was found. No other retinal abnormalities were found. Resolution of the hemorrhage occurred over the next three months. By this time, thrombocytopenia resolved (final platelet count: 259 × 10 9 /L), and the patient was able to fix and follow. Neonatal thrombocytopenia associated retinal hemorrhage is not commonly reported in the literature. Further research will elucidate whether newborn retinal screening should be recommended for all neonates with thrombocytopenia.

Source: American Journal of Ophthalmology Case Reports

DOI: 10.1016/j.ajoc.2025.102310

Authors: Samara J. Hamou, Iniya K. Adhan, Maureen E. Lloyd, Barry N. Wasserman

Institutions: Thomas Jefferson University, Wills Eye Hospital

Language: English

Topic: Platelet Disorders and Treatments

Subfield: Hematology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,590