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Letter
Retinal haemorrhages in a young patient with homocysteinuria
  1. R A Shah,
  2. M A Zarbin,
  3. N Bhagat
  1. Institute of Ophthalmology and Visual Science, New Jersey Medical School, Newark, NJ 07103, USA
  1. Correspondence to: Neelakshi Bhagat MD, MPH, Institute of Ophthalmology and Visual Science, New Jersey Medical School, Doctor’s Office Center; No 6168, 90 Bergen Street, Newark, NJ 07103, USA; bhagatneumdnj.edu

https://doi.org/10.1136/bjo.2005.072330

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    The most common ocular complication in homocysteinuria is lens subluxation.1 We present a patient with homocysteinuria who developed subhyaloid haemorrhages during pars plana vitrectomy/lensectomy for a subluxated lens in the right eye. She had also developed preretinal and intraretinal haemorrhages in her fellow eye 6 months earlier, after phacoemulsification of the subluxated lens. No preoperative or intraoperative anticoagulation was used for either eye surgeries.

    Case report

    A 12 year old girl with homocysteinuria presented with decreased vision in the right eye as a result of an anteriorly luxated lens causing pupillary block glaucoma with an intraocular pressure (IOP) of 50 mm Hg. The posterior segment was normal. She had undergone phacoemulsification and anterior vitrectomy for pupillary block glaucoma caused by subluxated lens in the fellow eye 6 months earlier. Retinal examination postoperatively revealed preretinal and intraretinal haemorrhages in the mid-periphery (fig 1), which cleared spontaneously …

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