title: Atypical presentation of antiphospholipid syndrome: a case report.
abstract: We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorrhage resolved spontaneously and the patient recovered a visual acuity of 20/20 in her right eye 3 months after the initial episode. A prompt diagnosis of this condition is fundamental to consider a systemic treatment to avoid any further thrombosis.
authors.affiliation: Department of Ophthalmology Università Politecnica delle Marche, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Mariotti
authors.affiliation: Department of Ophthalmology Università Politecnica delle Marche, Italy.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Giovannini
authors.affiliation: Department of Ophthalmology University of Catania, Catania, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Reibaldi
authors.affiliation: Department of Ophthalmology Università Politecnica delle Marche, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Saitta
authors.affiliation: Department of Ophthalmology Ospedali Riuniti, Ancona, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Viti
authors.affiliation: Department of Ophthalmology Università Politecnica delle Marche, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Nicolai
keywords: Antiphospholipid syndrome; Intraretinal hemorrhage; Subhyaloid hemorrhage