Pragati Garg1, Astha Agrawal2
Anaemia is a commonest haematological disorder presenting with a variety of ocular manifestations. Their higher incidence is seen with the increase in severity.
The aim of the study is to determine distribution of various ocular manifestations in different types of anaemia and distribution of various fundus abnormalities in different grades of anaemia.
MATERIALS AND METHODS
The present study was conducted in 294 anaemic patients in Era’s Lucknow Medical College irrespective of age and sex after the ethical clearance and due informed consent of the patients. The sociodemographic details of the patient were taken, type and severity of anaemia along with ocular manifestations with anaemia were recorded. Data was analysed by using Chi-square test and the ‘p’ value of less than 0.05 was taken as statistically significant.
Conjunctival pallor was the commonest ocular manifestation of anaemia seen in 100% cases. Retinal haemorrhage were the second commonest ocular manifestation observed in 35.71% cases. Diminution of vision was third commonest ocular manifestation seen in 28.91% cases. The results were highly significant whether it be the diminution of vision, lid oedema, subconjunctival haemorrhage, disc pallor, retinal haemorrhage or vascular changes and macular oedema (p<0.001).
Each anaemic patient should be thoroughly evaluated for the ocular manifestations and every moderate to very severe anaemic patient should undergo mandatory fundus examination for identification of anaemic retinopathy