Spontaneous Bilateral Suprachoroidal Hemorrhage in a Child with Idiopathic Thrombocytopenic Purpura: A Case Report
Publish place: International Journal of Pediatrics، Vol: 11، Issue: 6
Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INJPM-11-6_014
تاریخ نمایه سازی: 17 مهر 1402
Abstract:
Purpose: This study aimed to report the case of a ۳-year-old child with Idiopathic Thrombocytopenic Purpura (ITP) presented with massive bilateral spontaneous suprachoroidal hemorrhage. Case report: A three-year-old boy with a history of ITP was referred with acute painful vision loss from ۲ days ago. Visual acuity was No Light Perception (NLP) for the Right Eye (RE) and Light Perception (LP) for the Left Eye (LE). Anterior segment examination showed bilateral red eye, mild corneal edema, as well as relatively shallow and symmetric anterior chamber. Bilateral massive suprachoroidal hemorrhage with retinal apposition was apparent in B-scan ultrasonography. The patient underwent bilateral SCH drainage through four sclerotomy windows, one in each quadrant of each eye. In the last follow-up examination, one week after the surgery, the visual acuity was light perception and hand motion in RE and LE, respectively. Serial B-scan sonography indicated the reduction of hemorrhage in the suprachoroidal space. Conclusion: Spontaneous Supra-choroidal Hemorrhage (SSCH) is an extremely rare condition that can occur in the case of ITP. Despite the anatomical recovery of the patient following suprachoroidal drainage surgery, the visual outcome remained poor.
Keywords:
Spontaneous suprachoroidal hemorrhage , , , , , Idiopathic thrombocytopenic purpura , , , , , Scleral window
Authors
Mehrdad Motamed Shariati
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Mohsen Mohammadzade
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Seyedeh Maryam Hosseini
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Seyed Hossein Ghavami Shahri
Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Mitra Karimi Amir Abadi
Eye research center, Mashhad University of Medical Sciences, Mashhad, Iran
Javad Sadeghi
Eye research center, Mashhad University of Medical Sciences, Mashhad, Iran
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