Spontán suprachorioidealis vérzés okozta vakság véralvadásgátló kezelésben részesült idoskori makuladegenerációs betegeken

Translated title of the contribution: Blinding spontaneous suprachoroidal haemorrhage in anticoagulant taking wet-AMD patients

Ecsedy Mónika, Csákány Béla, I. Kovács, Resch Miklós, Nagy Zoltán Zsolt, Récsán Zsuzsa

Research output: Contribution to journalArticle

Abstract

We present cases of blinding spontaneous suprachoroidal haemorrhage in anticoagulant taking wet-AMD patients. A retrospective study has been performed to present the clinical course, management and final outcome of spontaneous suprachoroidal haemorrhage in 7 eyes of six age-related macular degeneration patients seen in our clinic from January 2016 to April 2017. All patients were on chronic oral anticoagulant therapy because of cardiovascular disorder. In one patient, haematological disorder was also present modifying significantly the haemostasis. All eyes received prior anti-VEGF treatment for exsudative AMD. Acute angle closure glaucoma - with no response to topical and oral IOP lowering therapy - was the most frequent ocular complication in our cases. The final visual prognosis was usually very poor. The risk of spontaneous suprachoroidal haemorrhage is increased in wet-AMD patients who are on anticoagulant therapy. To prevent this blinding condition, a stronger communication between ophthalmologists and cardiologists would be beneficial, with an ophthalmological check-up in this group of patients before and during the use of anticoagulants.

Original languageHungarian
Pages (from-to)985-990
Number of pages6
JournalOrvosi Hetilap
Volume159
Issue number24
DOIs
Publication statusPublished - Jun 1 2018

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ASJC Scopus subject areas

  • Medicine(all)

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