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Case Reports
. 2019;13(2):174-175.
doi: 10.1097/ICB.0000000000000554.

SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH IATROGENIC COAGULOPATHY

Fatma Sema Akkan Aydoğmuş  1 , Kurtulus Serdar, Defne Kalayci, Ayşenur Çelik
Affiliations
Case Reports

SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH IATROGENIC COAGULOPATHY

Fatma Sema Akkan Aydoğmuş et al. Retin Cases Brief Rep. 2019.

Abstract

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.

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