Bilateral Preretinal Hemorrhage after Blood Transfusion from a Girl Managed with Rhabdomyossarcoma: A Case Report and Review of Literature

Abstract

Objective: To describe a case of bilateral preretinal hemorrhage after a medina blood transfusion followed by rhabdomyosarcoma. Results: This is a female patient, 21 years old, of rural origin, with a pathological history of rhabdomyosarcoma 8 years ago, she was seen in the emergency department of the aforementioned hospital with anemia of 4 hemoglobin and a bag of whole blood, a The day after a blood transfusion she developed a subconjunctival hemorrhage in her right eye. She was accompanied by her family to our ophthalmology emergency department, where she was seen at our service. According to the girl's ophthalmological examination, the girl's visual acuity without optical correction was 09/10 in the right eye and 10/10 in the left eye, annexes: eyelids without ptosis but with eyelid retraction, there was subconjunctival hemorrhage, preserved ocular motility, unilateral exophthalmia, without pain, non-reducible in the right eye, anterior segment without particularity, fundus of the eye presents spots of pre-retinal hemorrhage in multiple, very limited form with good macular reflex, and left eye: adnexa and anterior segment without particularity, fundus of the eye presents multiple stains Well-limited round preretinal hemorrhages located in the posterior pole and periphery. The pre-retinal hemorrhage of the girl with anemia after blood transfusion resolved without medical treatment, we advised the girl to drink more water than before and we monitored it every month and after three months it resolved with a favorable evolution.