항응고제 복용 중 발생한 자발성 맥락막상강 출혈

• 영문명: Spontaneous Suprachoroidal Hemorrhage in a Patient Taking Anticoagulant Drug
• 발행기관: 대한검안학회
• 저자명: 김지홍(Ji Hong Kim) 류소정(So Jung Ryu) 강민호(Min Ho Kang) 성민철(Mincheol Seong) 조희윤(Hee Yoon Cho) 신용운(Yong Un Shin)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.16 No.2, 74~78쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.06.30

영문 초록

Purpose: To report a case of spontaneous suprachoroidal hemorrhage which occurred in case of a patient taking anticoagulant drug. Case summary: A 73-year-old male patient who was hospitalized because of being scheduled to have ileus surgery was requested to ophthalmologic department for joint treatment, since he emergently complained of sudden decrease of visual acuity and ocular pain. He had surgical history of small bowel resection about 5 months ago due to peritonitis caused by acute mesenteric artery occlusion and was currently in the process of periodic taking anticoagulant medication. According to the result from a medical examination by means of ocular ultrasonogram, massive suprachoroidal hemorrhage could be observed. In spite of cessation of anticoagulant medication and conservative treatment’s being exclusively continued, since the patient flatly rejected sorts of surgical treatment, suprachoroidal hemorrhage significantly decreased and his symptoms came right. Conclusion: Spontaneous suprachoroidal hemorrhage is primary to be regarded with suspicion especially when the patient who is elderly and in the middle of taking anticoagulant medication complains sudden plummeting of visual acuity accompanied by ocular pain. There is no necessity that the patients fallen in spontaneous suprachoroidal hemorrhage should exclusively take surgical treatment. Rather than surgical treatment, being treated with solely cessation of anticoagulant medication is hypothesized to be sufficiently effective way to alleviate the symptoms of suprachoroidal hemorrhage.

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키워드

Supachoroidal hemorrhage Mesenteric artery occlusion Anticoagulan