An unusual presentation of spontaneous sub-conjunctival haematoma in a patient receiving warfarin.
A 65-year-old man on warfarin therapy with a sudden spontaneous onset of sub-conjunctival haematoma associated with bloody tears was assessed in the clinic following a referral from an optometrist. Due to discomfort, diplopia and lagophthalmos, the haematoma necessitated suspension of warfarin therapy and a surgical evacuation. The sub-conjunctival haematoma in a patient receiving warfarin can pose a significant management challenge.
Shaikh
My
M
Eye Unit, The Ayr Hospital, Ayr, Scotland, United Kingdom. eyeshaikh@yahoo.com
Bodla
Ali A
AA
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000188:drug therapy; D003229:Conjunctival Diseases / Q000139:chemically induced* / Q000473:pathology; D005130:Eye Hemorrhage / Q000139:chemically induced* / Q000473:pathology; D006406:Hematoma / Q000139:chemically induced* / Q000473:pathology; D006801:Humans; D008297:Male; D014859:Warfarin / Q000009:adverse effects* / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin