{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:17:31Z","timestamp":1787847451198,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>A 22-year-old female was admitted with fever,disorientation and sudden decrease of vision in the emergency. Her evaluation showed tachycardia of 100\/min and blood pressure of 90\/70 with severe pallor. Her fundus examination showed findings of massive preretinal haemorrhage and Roth spots primarily restricted to the posterior pole. The ophthalmologist's findings were strongly suspicious of retinopathy associated with Haemoglobinopathies, blood tests revealed her to have a hemoglobin of 1.8 gm\/dL and other reports suggestive of severe B12 and Folate deficiency. She also had systemic findings of gross anemia. After ruling out other causes of anemia she was finally diagnosed as a case of Megaloblastic anemia with decreased vision and retinopathy as a very noteworthy feature. She was treated with blood transfusions and B12 and Folate supplementation which showed a prompt response in the resolution of haemorrhages and once stable was discharged home.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_577_20","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T05:57:47Z","timestamp":1598939867000},"page":"4421-4424","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["The eye: A lifesaver! An unusual case of Anemic Retinopathy secondary to Malnutrition and its recovery"],"prefix":"10.4103","volume":"9","author":[{"given":"Vijaya","family":"Jojo","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poonam","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Tata Main Hospital, Jamshedpur, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,8]]},"reference":[{"key":"R1-20260817","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1034\/j.1600-0609.2001.00539.x","article-title":"Prevalence of retinopathy in patients with anaemia or thrombocytopenia","volume":"67","author":"Carraro","year":"2001","journal-title":"Eur J Haematol"},{"key":"R2-20260817","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4103\/0301-4738.179720","article-title":"Bilateral macular haemorrhage due to megaloblastic anaemia: A rare case report","volume":"64","author":"Vaggu","year":"2016","journal-title":"Indian J Ophthalmol"},{"key":"R3-20260817","first-page":"86","article-title":"Bilateral retinal haemorrhages from megaloblastic anaemia: Case report and review of literature","volume":"24","author":"Lam","year":"1992","journal-title":"Ann Ophthalmol"},{"issue":"Suppl 2","key":"R4-20260817","doi-asserted-by":"crossref","first-page":"S435","DOI":"10.1016\/j.mjafi.2014.10.005","article-title":"Megaloblastic anaemia in a teenage patient","volume":"71","author":"Mishra","year":"2015","journal-title":"Med J Armed Forces India"},{"key":"R5-20260817","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1080\/09273948.2017.1370652","article-title":"Bilateral haemorrhagic retinopathy with roth spots in paediatric-onset systemic lupus erythematosus and associated thrombocytopenia: A case report and review of literature","volume":"26","author":"Zhang","year":"2018","journal-title":"Ocul Immunol Inflamm"},{"key":"R6-20260817","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1159\/000328123","article-title":"White centred retinal haemorrhages in vitamin B12 deficiency anaemia","volume":"2","author":"Zehetner","year":"2011","journal-title":"Case Rep Ophthalmol"},{"key":"R7-20260817","doi-asserted-by":"crossref","first-page":"e230365","DOI":"10.1136\/bcr-2019-230365","article-title":"Severe anaemic retinopathy in primitive neuroectodermal tumour","volume":"12","author":"Alone","year":"2019","journal-title":"BMJ Case Reports CP"},{"key":"R8-20260817","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/S2352-4642(19)30273-1","article-title":"The burden of child and maternal malnutrition and trends in its indicators in the states of India: The global burden of disease study 1990-2017","volume":"3","author":"Swaminathan","year":"2019","journal-title":"Lancet Child Adolesc Health"},{"key":"R9-20260817","doi-asserted-by":"crossref","first-page":"495","DOI":"10.3945\/ajcn.115.107896","article-title":"Anaemia and risk of adverse birth and health outcomes in low- and middle-income countries: Systematic review and meta-analysis","volume":"103","author":"Rahman","year":"2016","journal-title":"Am J Clin Nutr"},{"key":"R10-20260817","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1111\/1471-0528.15585","article-title":"Maternal anaemia and maternal, fetal, and neonatal outcomes in a prospective cohort study in India and Pakistan","volume":"126","author":"Parks","year":"2019","journal-title":"BJOG"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_577_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:18:41Z","timestamp":1787843921000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_577_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":10,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_577_20","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]},"assertion":[{"value":"2020-04-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}