Laaouina S, Saidi S, Oubaaz B, et al. Vitreous hemorrhage as ocular complication of essential thrombocythemia: a case report. Series Clin Med Case Rep Rev. 2024;2(5):1-3.
Essential thrombocythemia (ET) is a rare chronic myeloproliferative disorder characterized by significant thrombocytosis. The ocular manifestations reported during ET are rare and are mainly represented by occlusion of the central retinal vein. We present the case of a 67 years old patient who was referred for an acute visual loss in the right eye, without associated pain or redness, and whose clinical examination on the admission found vitreous hemorrhage of the right eye, associated with microhyphema and ocular hypertonia. The pre-therapeutic biological assessment revealed hyperplateletosis at 1,146,000/mm3, without associated myelemia. The patient was treated with general and topical hypotonizing treatment, and was referred after the normalization of his intraocular pressure (IOP) to hematology for further management. The assessments carried out were in favor of ET and cytoreductive treatment was initiated. Ophthalmological involvement during ET is rare. This is the first case of spontaneous vitreous hemorrhage as an ocular complication of ET.