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Letter
Bilateral serous macular detachment in a patient with anaemic retinopathy secondary to gall bladder cancer
  1. H Kunikata1,
  2. T Udono1,
  3. S Nishikawa1,
  4. M Tamai2
  1. 1Department of Ophthalmology, Kesennuma County Hospital, Miyagi, Japan
  2. 2Department of Ophthalmology, School of Medicine, Tohoku University, Sendai, Japan
  1. Correspondence to: Hiroshi Kunikata, MD, Department of Ophthalmology, Kesennuma County Hospital, 184 Tanaka, Kesennuma, Miyagi 988-0052, Japan; drkunikata{at}hotmail.com

https://doi.org/10.1136/bjo.86.12.1456

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    Various ocular complications of anaemia including hard exudates, cottonwool patches, frame-shaped haemorrhages, and Roth spots, have been documented as anaemic retinopathy for many years. In addition, it has been reported that retinal venous tortuosity is directly related to severity of anaemia.1 However, bilateral serous macular detachment has never been reported to be complicated with anaemic retinopathy. Bilateral serous detachment of the macula has been reported in some patients with systemic or ocular disorders, including lymphoma,2 leukaemia, Vogt-Koyanagi-Harada syndrome, age related macular degeneration, and idiopathic central chorioretinopathy (ICSC).3,4 ICSC demonstrates central serous sensory detachments associated with leaks at the level of the retinal pigment epithelium. The classic features of ICSC are well known; this condition most commonly affects young or middle aged men between 30 and 50 years of age, occurs unilaterally and frequently in patients who …

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    • Proprietary interests, none.