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Delayed suprachoroidal hemorrhage and factor VIII deficiency
Srilakshmi Maguluri1, Celyne L Bueno, Ira B Fuller
1Department of Ophthalmology, Earl K. Long Medical Center, Louisiana State University Health Sciences Center, Baton Rouge, Louisiana 70805-2495, USA.
American Journal of Ophthalmology
|January 18, 2005
Summary
A man with undiagnosed hemophilia experienced severe eye complications after trauma, leading to vision loss. This case highlights the risk of spontaneous intraocular hemorrhage in patients with bleeding disorders like hemophilia.
Area of Science:
- Ophthalmology
- Hematology
- Trauma Care
Background:
- Undiagnosed mild hemophilia can present with severe complications following trauma.
- Blunt ocular trauma can precipitate intraocular hemorrhage in patients with bleeding disorders.
Observation:
- A 52-year-old male with previously unknown hemophilia sustained blunt eye trauma.
- The patient developed recurrent hyphemas, delayed suprachoroidal hemorrhage, and ultimately eye loss.
Findings:
- Hematologic evaluation revealed mild factor VIII deficiency.
- Histopathology and B-scan ultrasonography correlated with the clinical course of hemorrhage and eye loss.
Implications:
- Ophthalmologists must consider bleeding disorders in patients with spontaneous intraocular hemorrhage.
- Early diagnosis and management of hemophilia are crucial to prevent severe ocular morbidity.