Traumatic hyphema in a patient with severe hemophilia A: Clinical features and management
Küçük Resim Yok
Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Sage Publications Ltd
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To describe a case of traumatic hyphema in a patient with severe hemophilia A. Case: We present a case of a 16-year-old boy with severe hemophilia A who presented to our ophthalmology department with total hyphema and elevated intraocular pressure 3 days after a history of blunt ocular trauma on his right eye. Due to the persistent intraocular pressure elevation and total hyphema despite medical intervention, an early anterior chamber washout was performed with the replacement of factor VIII preoperatively and postoperatively. Rebleeding or any other complications were not experienced during surgery or postoperatively. At the first postoperative week, 20/20 visual acuity and a normal intraocular pressure without antiglaucoma medication was retained and remained stable during the 6-month follow-up. Conclusion: In such cases with hemophilia A, traumatic hyphema, and intraocular pressure elevation despite medical intervention, an early surgical clot removal under intense factor VIII replacement could be performed. In the early postoperative period, factor replacement should be resumed in order to avoid re-bleeding.
Açıklama
Anahtar Kelimeler
Trauma, Genetic Disease/Congenital Abnormalities, Pediatric Ophthalmology, Childhood Glaucoma, Glaucoma, Ocular Trauma (Includes Shaken Baby)
Kaynak
European Journal Of Ophthalmology
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
31
Sayı
2
