J Korean Ophthalmol Soc > Volume 52(8); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(8):999-1004.
DOI: https://doi.org/10.3341/jkos.2011.52.8.999    Published online August 15, 2011.
Spontaneous Suprachoroidal Hemorrhage Associated with Wet Type of Age-Related Macular Degeneration and Hypertension: Two Cases.
Chang Kyu Lee, Soojung Lee, Jung Min Park
1Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. pjm1438@hanmail.net
2Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
고혈압과 습성 나이관련 황반변성이 연관된 자발적인 맥락막상강 출혈 2예
이창규1⋅이수정2⋅박정민1
Department of Ophthalmology, Maryknoll Hospital1, Busan, Korea Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine2, Busan, Korea
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.
Key Words: Hypertension;Spontaneous suprachoroidal hemorrhage;Wet-type age-related macular degeneration


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