Delayed suprachoroidal hemorrhage and factor VIII deficiency.
OBJECTIVE
To describe the clinical course of a 52-year-old white man with previously undiagnosed hemophilia who suffered blunt trauma to the right eye with consequent delayed, spontaneous suprachoroidal hemorrhage.


METHODS
Observational case report.


METHODS
The patient's clinical course from the time of trauma to postenucleation is discussed and correlated with B-scan ultrasonography and histopathology.


RESULTS
The patient developed recurrent hyphemas, delayed choroidal hemorrhage with detachment and eventually loss of the eye. Hematologic evaluation established a diagnosis of mild factor VIII deficiency.


CONCLUSIONS
Despite mild hemophilia, this patient had not experienced any clinically important morbidity until his eye injury. Ophthalmologists should be aware that bleeding disorders such as hemophilia predispose patients to spontaneous intraocular hemorrhage.
Maguluri
Srilakshmi
S
Department of Ophthalmology, Earl K. Long Medical Center, Louisiana State University Health Sciences Center, Baton Rouge, Louisiana 70805-2495, USA.
Bueno
Celyne L
CL
Fuller
Ira B
IB
Eagle
Ralph C
RC
Spell
Derrick W
DW
D002832:Choroid Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D005131:Eye Injuries / Q000209:etiology; D005169:Factor VIII / Q000032:analysis; D006467:Hemophilia A / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006988:Hyphema / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010314:Partial Thromboplastin Time; D012008:Recurrence; D014949:Wounds, Nonpenetrating / Q000209:etiology
D005169:Factor VIII