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Diagnosis of Factor XI deficiency following congenital cataract extraction
Srinivas S Iyengar1, Scott E Olitsky, Kathleen A Neville
1Department of Ophthalmology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Insights
Factor XI deficiency, a rare bleeding disorder, necessitates careful preoperative planning. This case highlights its diagnosis via ophthalmic surgery in an infant and reviews essential prophylactic measures for surgical readiness.
Area of Science:
- Hematology
- Pediatric Coagulopathies
- Ophthalmic Surgery
Background:
- Factor XI deficiency is a rare inherited bleeding disorder.
- Preoperative planning is crucial for patients with coagulopathies.
- Ophthalmic surgery can present unique challenges in pediatric patients.
Observation:
- A 4-month-old boy was diagnosed with Factor XI deficiency following ophthalmic surgery.
- The diagnosis was incidental, discovered during the perioperative period.
Findings:
- Factor XI deficiency requires specific management strategies to prevent bleeding complications.
- Prophylactic measures are essential prior to operative intervention in affected individuals.
Implications:
- Early diagnosis and appropriate management of Factor XI deficiency are critical for patient safety.
- This case underscores the importance of considering rare coagulopathies in pediatric surgical planning.
- Reviewing prophylactic measures can improve outcomes for patients with Factor XI deficiency undergoing surgery.
Abstract:
Factor XI deficiency is a rare coagulopathy that requires a specific approach to preoperative planning. Herein we report a case where ophthalmic surgery led to this diagnosis in a 4-month old boy and review the warranted prophylactic measures prior to operative intervention.
