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CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 762-764

Orbital cellulitis and exudative retinal detachment in a case of immune thrombocytopenic purpura treated with rituximab


Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, SOA University, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Pradeep K Panigrahi
Department of Ophthalmology, Institute of Medical Sciences and SUM Hospital, SOA University, 8-Kalinga Nagar, Bhubaneswar - 751 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_213_21

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An 18-year-old female with relapsed immune thrombocytopenic purpura presented with painful swelling and loss of vision in the right eye 2 days following treatment with systemic steroids and rituximab. She was diagnosed with orbital cellulitis and exudative retinal detachment in the right eye. Following cessation of systemic therapy and institution of broad-spectrum antibiotics, there was a prompt reversal of cellulitis and exudative detachment. Ocular complications can arise following treatment with rituximab. Venous congestion and reactive edema across the sclera can lead to exudative retinal detachment in orbital cellulitis. Early diagnosis and prompt treatment are associated with a good prognosis.


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