Abstract
To report a hemophilia patient complicated with optic disc hemorrhages. A 13-year-old boy presented to our emergency room with a black shadow in the left eye for 1 day. The best-corrected visual acuity was 6/6 in both eyes. Peripapillary retinal and subretinal hemorrhages were found in the left eye. Result of the laboratory examination showed an extremely low level of coagulation factor VIII (1.9%). Factor VIII concentrate was given for 8 weeks. A follow-up 3 months later showed absorption of the hemorrhages, black shadow diminished, and the vision was 6/6.
References
Rubenstein RA, Albert DM, Scheie HG. Ocular complications of hemophilia. Arch Ophthalmol. 1966;76:231–2.
Maguluri S, Bueno CL, Fuller IB, Eagle RC, Spell DW. Delayed suprachoroidal hemorrhage and factor VIII deficiency. Am J Ophthalmol. 2005;139:195–7.
Hon C, Liu H, Chan J. Acquired factor VIII inhibitor presenting as macular haemorrhage. Haemophilia. 2005;11:164–6.
Kokame GT, Yamamoto I, Kishi S, Tamura A, Drouilhet JH. Intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage. Ophthalmology. 2004;111:926–30.
Sonnsjo B. Similarities between disc haemorrhages and thromboses of the retinal veins. Int Ophthalmol. 1992;16:235–8.
Acknowledgments
We greatly appreciate the assistance and comments from Dr. Da-Wen Lu and TSGH foundation (TSGH-C97-69).
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Wang, TY., Horng, CT., Cheng, SN. et al. Optic disc hemorrhages in a patient with hemophilia A. Int J Hematol 87, 550–552 (2008). https://doi.org/10.1007/s12185-008-0088-1
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DOI: https://doi.org/10.1007/s12185-008-0088-1