장기간 양파즙을 복용한 환자에서 안과 수술 중 발생한 출혈성 경향 2예

• 영문명: Two Cases of Bleeding Tendency in Patients with Long-term Taking Onion-juice
• 발행기관: 대한검안학회
• 저자명: 이강민(Kang Min Lee) 김마르다(Martha Kim) 장민욱(Minwook Chang)
• 간행물 정보: 『Annals of optometry and contact lens』Vol.20 No.1, 39~42쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2021.03.30

영문 초록

Purpose: To report a two cases of bleeding tendency in patient with long-term taking onion-juice undergoing elective ophthalmic surgery. Case summary: (Case 1) A 56-year-old male visited our clinic due to blepharoptosis of both upper eyelid for 2 years. Marginal reflex distance1 was 1.5 mm in the both eyes. According to levator function test, the distance was 10 mm and 11 mm, respectively. In diagnosis blepharoptosis of both eyes, levator advancement operation was performed. During surgery, massive hemorrhage without hemostatsis occurred and took twice the usual operation time. In medical history, physical examination and laboratorial blood test performed prior to surgery, there were no underlying medical disease, including hypertension and diabetes mellitus and abnormal specific findings, but history of long-term taking onion-juice was confirmed through additional medical history taking. (Case 2) A 65-year-old male diagnosed with primary open-angle glaucoma 10 years ago, visited our clinic due to uncontrolled intraocular pressure (IOP) of his left eye. IOP was 29 mmHg in his left eye and uncontrolled by glaucoma eyedrops. There were no underlying medical disease and abnormal laboratorial findings. He underwent trabeculectomy after one week of discontinuation of aspirin. During surgery, hemorrhage without hemostatsis and massive subconjunctival hemorrhage occurred. As in the first case, the history of long-term taking onion-juice was confirmed through additional medical history taking. Conclusions: We should pay attention for the bleeding tendency in patient with long-term taking onion-juice, and physicians may consider careful history taking of foods, such as onion-juice.

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키워드

Levator advancement Onion-juice Trabeculectomy