Akkan Aydoğmuş Fatma Sema, Serdar Kurtulus, Kalayci Defne, Çelik Ayşenur
Ankara Numune Training and Research Hospital, Eye Clinic, Ankara, Turkey.
Retin Cases Brief Rep. 2019;13(2):174-175. doi: 10.1097/ICB.0000000000000554.
To present a case of spontaneous suprachoroidal hemorrhage in a patient on anticoagulation.
Single case report.
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.
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.
报告1例接受抗凝治疗患者发生自发性脉络膜上腔出血的病例。
单病例报告。
一名68岁女性，有高血压、动脉粥样硬化和心力衰竭病史，左眼发生大量自发性脉络膜上腔出血。她无已知眼科病变。她正在服用华法林，国际标准化比值较高。尽管进行了药物和手术治疗，但病情无改善，视力恶化为无光感。
自发性脉络膜上腔出血是一种罕见疾病。高龄、全身抗凝治疗和高血压是强烈的危险因素。对华法林治疗的患者监测国际标准化比值很重要；特别是，在无眼部易患病变的情况下，未控制的高水平可能导致自发性脉络膜上腔出血。
