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A spontaneous suprachoroidal haemorrhage: a case report
Aman Chandra1, Allon Barsam, Charles Hugkulstone
1Vitreoretinal Department, Moorfields Eye Hospital, City Road, London, EC1V 2PD, UK. amanchandra@doctors.org.uk
Cases Journal
|December 1, 2009
Summary
This case report highlights spontaneous suprachoroidal hemorrhage in an 84-year-old on warfarin with a therapeutic International Normalized Ratio (INR). Early detection is crucial for patients with age-related macular degeneration and anticoagulation.
Area of Science:
- Ophthalmology
- Vascular Medicine
Background:
- Spontaneous suprachoroidal hemorrhage is a rare but serious condition.
- Patients on anticoagulation therapy, particularly warfarin, have an increased risk of hemorrhagic complications.
- Age-related macular degeneration is a common comorbidity in elderly patients, often requiring anticoagulation.
Purpose of the Study:
- To report a rare case of spontaneous suprachoroidal hemorrhage in a patient on warfarin with a therapeutic International Normalized Ratio (INR).
- To emphasize the importance of considering suprachoroidal hemorrhage in patients with risk factors presenting with suspicious ocular signs.
Main Methods:
- Case presentation of an 84-year-old male with a history of age-related macular degeneration and angle closure glaucoma.
- The patient was on warfarin with a therapeutic INR.
- Diagnosis was confirmed via ultrasound examination.
Main Results:
- A spontaneous suprachoroidal hemorrhage was identified.
- This represents the second reported case of such an event in a patient with a therapeutic INR.
Conclusions:
- Suprachoroidal hemorrhage should be considered in patients with cardiovascular disease, on anticoagulation, and with age-related macular degeneration presenting with concerning symptoms.
- A low threshold for investigation is recommended.
- Early detection and management can potentially reduce morbidity.
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