A rare case of acute angle closure due to spontaneous suprachoroidal haemorrhage secondary to loss of anti-coagulation control: a case report

• Main Authors: Ibrahim Masri, Jonathan M. Smith, Nicholas K. Wride, Saurabh Ghosh
• Format: Article
• Language: English
• Published: BMC 2018-09-01
• Series: BMC Ophthalmology
• Subjects: Suprachoroidal haemorrhage; Acute angle closure; Anticoagulation
• Online Access: http://link.springer.com/article/10.1186/s12886-018-0857-4

Abstract Background Suprachoroidal haemorrhage is a rare complication of either medical anticoagulation treatment or intraocular surgical procedures. Suprachoroidal haemorrhages often have devastating visual outcome despite conservative and/or surgical intervention. Case presentation A patient with known Open Angle Glaucoma and Atrial Fibrillation on warfarin presents symptoms and signs suggestive acute angle closure. Examination reveals the underlying cause is a large, macula involving, spontaneous suprachoroidal haemorrhage secondary to loss of anti-coagulation control. Following aggressive medical treatment and surgical intervention, including drainage combined cataract extraction with intraocular lens implant, pars-plana vitrectomy, and external drainage of suprachoroidal haematoma, we managed to preserve the patient’s eye and some of its function. Conclusion Spontaneous suprachoroidal haemorrhages are rare complications of loss of anticoagulation control. Our case shows that aggressive treatment in selected cases can offer a relatively good outcome.