SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE ASSOCIATED with IATROGENIC COAGULOPATHY


Akkan Aydoǧmuş F. S., Serdar K., KALAYCI D., Çelik A.

Retinal Cases and Brief Reports, cilt.13, sa.2, ss.174-175, 2019 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 2
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1097/icb.0000000000000554
  • Dergi Adı: Retinal Cases and Brief Reports
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.174-175
  • Anahtar Kelimeler: anticoagulation, digoxin, INR, spontaneous expulsive suprachoroidal hemorrhage, suprachoroidal hemorrhage, warfarin
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Purpose:To present a case of spontaneous suprachoroidal hemorrhage in a patient on anticoagulation.Methods:Single case report.Results:A 68-year-old woman with a history of hypertension, atherosclerosis, and heart failure presented with massive spontaneous suprachoroidal hemorrhage in the left eye. She had no known ophthalmic pathology. She was taking warfarin and she had a high international normalization ratio. Despite medical and surgical therapy, there was no improvement and vision deteriorated to no light perception.Conclusion:Spontaneous expulsive suprachoroidal hemorrhage is a rare entity. Advanced age, systemic anticoagulation, and hypertension are strong risk factors. It is important to monitor international normalization ratio in warfarinized patients; particularly, uncontrolled high levels may cause spontaneous suprachoroidal hemorrhage in the absence of predisposing ocular pathology.