与医源性凝血障碍相关的自发性脉络膜上腔出血
SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH IATROGENIC COAGULOPATHY.
作者信息
Akkan Aydoğmuş Fatma Sema, Serdar Kurtulus, Kalayci Defne, Çelik Ayşenur
机构信息
Ankara Numune Training and Research Hospital, Eye Clinic, Ankara, Turkey.
出版信息
Retin Cases Brief Rep. 2019;13(2):174-175. doi: 10.1097/ICB.0000000000000554.
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.
目的
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。
方法
单病例报告。
结果
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。
结论
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。
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