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 |
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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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