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LETTER
Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 505

Vitreous haemorrhage in children


Department of Neurology, M.G. Hospital, Dr. S. N. Medical College, Jodhpur, Rajasthan, India

Date of Submission01-Sep-2015
Date of Acceptance10-Sep-2015
Date of Web Publication18-Feb-2016

Correspondence Address:
Khichar Purnaram Shubhakaran
Department of Neurology, M.G. Hospital, Dr. S. N. Medical College, Jodhpur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2008-322X.176900

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How to cite this article:
Shubhakaran KP. Vitreous haemorrhage in children. J Ophthalmic Vis Res 2015;10:505

How to cite this URL:
Shubhakaran KP. Vitreous haemorrhage in children. J Ophthalmic Vis Res [serial online] 2015 [cited 2020 Jan 20];10:505. Available from: http://www.jovr.org/text.asp?2015/10/4/505/176900

Dear Editor,

I read an interesting article on bilateral vitreous hemorrhage (VH) in children, its causes and management.[1] The article was quite informative, and I would like to share my views and experience:

  • Low platelet counts are an important cause of VH, and various infections such as malaria, dengue etc. (which are quite common in India) frequently cause low platelet counts and various bleeding manifestations, both fatal and non-fatal.[2] Various ocular bleeding manifestations are very well described since long ago in malaria and very recently in dengue, which are quite similar to that of malaria.[3] Vitreous hemorrhage has also been documented in malaria,[4] which may be missed because of unconsciousness, or confusion with other causes of blindness such as cortical blindness and retro-bulbar neuritis in a critically ill patient
  • Hypertension is definitely less common in children but uncontrolled systemic hypertension may rarely lead to VH. Such patients may initially present to physicians or neurologists as a stroke mimic but usually have good prognosis once blood pressure is effectively controlled (personal experience).


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Conflicts of Interest

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  References Top

1.
Sudhalkar A, Chhablani J, Rani PK, Jalali S, Balakrishnan D, Tyagi M. Bilateral vitreous hemorrhage in children: Clinical features and outcomes. J Ophthalmic Vis Res 2015;10:139-143.  Back to cited text no. 1
    
2.
Shubhakaran K. Life threatening haemorrhagic complications of malaria. J Assoc Physicians India 2012;60:67.  Back to cited text no. 2
    
3.
Shubhakaran K, Jakhar R. Ocular changes in infectious diseases. J Assoc PhysiciansIndia 2005;53:913-914.  Back to cited text no. 3
    
4.
Kochar DK, Shubhakaran K, Kochar SK, Vyas SP. Vitreous hemorrhage in falciparum malaria. J Assoc Physicians India 1997;45:670.  Back to cited text no. 4
    




 

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