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December 1990

Papilledema in a Patient With Aplastic Anemia

Author Affiliations

Durham, NC

Arch Ophthalmol. 1990;108(12):1674-1675. doi:10.1001/archopht.1990.01070140028014

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Papilledema is an uncommon complication of severe anemia. Among patients with this association, the anemia usually is related to iron deficiency. We describe a child with papilledema resulting from idiopathic aplastic anemia.

Report of a Case.  —An 8-year-old girl was admitted to the hospital with a 4-week history of easy bruising and exertion-related headaches. She had been in excellent health, and her only ocular problems were hyperopia and accommodative esotropia.Results of her general physical examination were remarkable for skin pallor, scattered bruises and petechiae, a grade 3 systolic murmur, and tachycardia. Blood pressure was normal. The patient was afebrile and had no neurologic deficits.Ophthalmologic examination revealed a visual acuity of 20/20 OU with full visual fields and normal color perception. The pupils reacted briskly to light exposure and there was no afferent pupillary defect. With spectacle correction, the patient's eyes were aligned. The range of eye movements was

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