Annals of Optometry and Contact Lens 2017;16(2):74-78.
Published online June 25, 2017.
Spontaneous Suprachoroidal Hemorrhage in a Patient Taking Anticoagulant Drug
Ji Hong Kim, So Jung Ryu, Min Ho Kang, Mincheol Seong, Hee Yoon Cho, Yong Un Shin
Department of Ophthalmology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
Received: 27 October 2016   • Revised: 19 December 2016   • Accepted: 26 December 2016
Purpose: To report a case of spontaneous suprachoroidal hemorrhage which occurred in case of a patient taking anticoagulant drug.
Case summary: A 73-year-old male patient who was hospitalized because of being scheduled to have ileus surgery was requested to ophthalmologic department for joint treatment, since he emergently complained of sudden decrease of visual acuity and ocular pain. He had surgical history of small bowel resection about 5 months ago due to peritonitis caused by acute mesenteric artery occlusion and was currently in the process of periodic taking anticoagulant medication. According to the result from a medical examination by means of ocular ultrasonogram, massive suprachoroidal hemorrhage could be observed. In spite of cessation of anticoagulant medication and conservative treatment’s being exclusively continued, since the patient flatly rejected sorts of surgical treatment, suprachoroidal hemorrhage significantly decreased and his symptoms came right.
Conclusion: Spontaneous suprachoroidal hemorrhage is primary to be regarded with suspicion especially when the patient who is elderly and in the middle of taking anticoagulant medication complains sudden plummeting of visual acuity accompanied by ocular pain. There is no necessity that the patients fallen in spontaneous suprachoroidal hemorrhage should exclusively take surgical treatment. Rather than surgical treatment, being treated with solely cessation of anticoagulant medication is hypothesized to be sufficiently effective way to alleviate the symptoms of suprachoroidal hemorrhage.
Key Words: Supachoroidal hemorrhage; Mesenteric artery occlusion; Anticoagulant
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