A RARE CASE OF EXUDATIVE RETINAL DETACHMENT IN A CASE OF PANCYTOPENIA

A 12 years old male child presented to emergency with fever for 20 days. On examination she looked ill, had pallor and was disoriented. She had petechial spots all over the body. He was diagnosed of Dengue 1 month back with NS1 antigen positive. His vision was significantly impaired and he could count fingers only from a distance of 0.5 meters after 8 units of Packed Red blood Cells (PRC) and 11 units of Random Donor Platelet Concentrates (RDP). Complete blood count revealed pancytopenia.Bone marrow aspirate showed hypocellular marrow.Funduscopy of both eyes showed bilateral exudative retinal detachment which was further confirmed by Ultrasound B Scan with subhyaloid hemorrhage with multiple cotton wool spots and roth spots hemorrhages with normal optic disc.Patient was put on oral steroids and observed.Exudative retinal detachment subsided along with subhyaloid hemorrhage and vision improved to Snellens 6/60 in left eye and finger counting 4 metres in right eye. Intravitreal Anti VEGF injection is planned to rescue hypoxic retina.