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題名 | Spontaneous Suprachoroidal Hemorrhage Associated with Age-related Macular Degeneration and Anticoagulation Therapy=老年性黃斑部病變及抗凝血藥相關連之自發性脈絡膜上出血 |
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作者 | 程羽嬿; 陳瑛瑛; 許淑娟; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 72:7 2009.07[民98.07] |
頁次 | 頁385-387+CA72 |
分類號 | 416.746 |
關鍵詞 | 老年性黃斑部退化; 抗凝血治療; 脈絡膜引流; 自發性脈絡膜上出血; Age-related macular degeneration; Anticoagulation therapy; Choroidal drainage; Spontaneous suprachoroidal hemorrhage; |
語文 | 英文(English) |
英文摘要 | Suprachoroidal hemorrhage is a rare but dreadful event. We report the case of an 86-year-old man with age-related macular degeneration (ARMD) in both eyes. He had been receiving anticoagulation therapy for several years for systemic disease. He presented with severe headache and intractable pain in his right eye. Vision was no light perception, and the intraocular pressure was 50 mmHg in the right eye despite maximal antiglaucoma medications. Slit-lamp and B-scan examination disclosed suprachoroidal hemorrhage in the right eye. Nine days later, he underwent choroidal drainage, which only relieved the symptoms for 1 day. Suprachoroidal hemorrhage recurred and evisceration was performed. This case illustrates how ARMD with anticoagulation therapy could cause spontaneous suprachoroidal hemorrhage. Therefore, anticoagulants should be meticulously prescribed with prothrombin time monitored regularly in ARMD patients. |
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