Non-traumatic extraocular muscle haemorrhage associated with anticoagulation use.

Autor: Al Rayess, Dona, Sirju, Nicolette, Smith, Rachel, Davies, Elizabeth Alexandra
Zdroj: BMJ Case Reports; Mar2023, Vol. 16 Issue 3, p1-3, 3p
Abstrakt: We present a case of a unilateral extraocular muscle haematoma in an adult female patient who was compliant with life-long oral anticoagulation for recurrent deep vein thrombosis. The patient presented with symptoms of sudden-onset left-sided headache radiating to the temporal region, which started 2 days prior. No obvious triggering factors were identified. Cranial and ocular examinations were within normal limits. Imaging revealed a haemorrhage related to the lateral rectus muscle of the left eye. Conservative management was employed with abstinence from anticoagulation for 2weeks and a weaning regime of oral steroids. Under the clinical review of ophthalmology and interval radiological monitoring, symptoms were reduced with reduction of haemorrhage size. Anticoagulation was reinstated after 2weeks. To our knowledge, this is the first case of a non-traumatic extraocular muscle haematoma to be reported in a patient on anticoagulation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index