Bilateral spontaneous hyphaema: case report and review of literature
Autor: | Aruna Dharmasena, Gillian M. Watts |
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Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty genetic structures Paroxysmal atrial fibrillation Iris Severe copd Pulmonary Disease Chronic Obstructive Spontaneous hyphaema medicine Humans cardiovascular diseases Hypoxia Aged COPD Oxygen supplementation Warfarin Sodium business.industry On warfarin Atrial fibrillation Hematology medicine.disease Hyphema Surgery Vasodilation Anesthesia Warfarin Cardiology and Cardiovascular Medicine business |
Zdroj: | Journal of Thrombosis and Thrombolysis. 36:343-345 |
ISSN: | 1573-742X 0929-5305 |
Popis: | To report a case of bilateral spontaneous hyphaema in a patient on warfarin sodium for atrial fibrillation and COPD. A case report and literature review. A 76-year-old man presented with bilateral spontaneous hyphaema. There was no anterior chamber pathology known to predispose for spontaneous bleeding except for a history of paroxysmal atrial fibrillation treated with a daily dose of 3 mg of warfarin sodium. In addition, he was also suffering from severe COPD and was on oxygen supplementation. This is a rare case of a bilateral spontaneous hyphaema. Although the patient was on warfarin sodium, his INR was only 2.6 at the onset of his symptoms. It may be possible that the combined action of anti-coagulant properties of warfarin sodium and hypoxic vasodilatation of iris vessels may be responsible for bilateral hyphaema in this case. |
Databáze: | OpenAIRE |
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