DR. SOWMIYA SARAS M

Dr. UMA RAMALINGAM, Dr. MARY SANTHOSH, Dr.Praveena Venkatakrishnan

Abstract

HLH is a rare fatal condition caused by overactive immunological response of the histiocytes and lymphocytes. It is commonly seen in infants, but can occur at any age. It can be Primary (autosomal recessive) or Secondary (Acquired). Presents initially as fever, hepatosplenomegaly and pancytopenia. Associated ocular findings have been reported in few cases. A 22 year old male with HLH presented with decreased vision in BE for 1 month. On examination, BCVA was 6/36 and N18 in BE. Left eye SCH was present. Rest of the anterior segment was normal. Fundus examination revealed multiple retinal hemorrhages involving the macula in BE. We report hemorrhagic retinopathy in a case of adult onset HLH which is a rare finding. Patient is on immunosuppressants for HLH. Supportive treatment given for retinal hemorrhages and advised follow up. This case report emphasizes the importance of careful ophthalmic monitoring and early diagnosis to prevent vision threatening complications.