Spontaneous Suprachoroidal Hemorrhage Associated with Wet Type of Age-Related Macular Degeneration and Hypertension: Two Cases.
10.3341/jkos.2011.52.8.999
- Author:
Chang Kyu LEE
1
;
Soojung LEE
;
Jung Min PARK
Author Information
1. Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. pjm1438@hanmail.net
- Publication Type:Case Report
- Keywords:
Hypertension;
Spontaneous suprachoroidal hemorrhage;
Wet-type age-related macular degeneration
- MeSH:
Aged;
Eye;
Female;
Follow-Up Studies;
Hemorrhage;
Humans;
Hypertension;
Macular Degeneration;
Risk Factors;
Vision, Ocular
- From:Journal of the Korean Ophthalmological Society
2011;52(8):999-1004
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report two cases of spontaneous suprachoroidal hemorrhage associated with wet type of age-related macular degeneration (ARMD) and systemic hypertension. CASE SUMMARY: Two women, aged 76 and 73 years, with a history of systemic hypertension for more than ten years had been treated in an eye clinic for wet type of ARMD. The 76-year-old woman was scheduled to receive an injection of intravitreal Lucentis(R) but experienced sudden onset loss of vision and ocular pain in her left eye. The 73-year-old woman had received no specific treatment for wet type of ARMD. She also complained of visual disturbance and ocular pain. In these two cases, slit lamp or B-scan examination disclosed suprachoroidal hemorrhage. Surgical intervention relieved the ocular pain and symptoms in both cases. CONCLUSIONS: Even if a patient has not received systemic anticoagulation/thrombolytic therapy, if wet-type ARMD patients are elderly and have systemic hypertension, they should receive regular follow-ups because old age and systemic hypertension are risk factors of spontaneous suprachoroidal hemorrhage.