title: SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE ASSOCIATED WITH IATROGENIC COAGULOPATHY.
abstract: OBJECTIVE
  To present a case of spontaneous suprachoroidal hemorrhage in a patient on anticoagulation.
  
  
  METHODS
  Single case report.
  
  
  RESULTS
  A 68-year-old woman with a history of hypertension, atherosclerosis, and heart failure presented with massive spontaneous suprachoroidal hemorrhage in the left eye. She had no known ophthalmic pathology. She was taking warfarin and she had a high international normalization ratio. Despite medical and surgical therapy, there was no improvement and vision deteriorated to no light perception.
  
  
  CONCLUSIONS
  Spontaneous expulsive suprachoroidal hemorrhage is a rare entity. Advanced age, systemic anticoagulation, and hypertension are strong risk factors. It is important to monitor international normalization ratio in warfarinized patients; particularly, uncontrolled high levels may cause spontaneous suprachoroidal hemorrhage in the absence of predisposing ocular pathology.
authors.affiliation: Ankara Numune Training and Research Hospital, Eye Clinic, Ankara, Turkey.
authors.forename: Fatma Sema
authors.initials: FS
authors.lastname: Akkan Aydoğmuş
authors.forename: Kurtulus
authors.initials: K
authors.lastname: Serdar
authors.forename: Defne
authors.initials: D
authors.lastname: Kalayci
authors.forename: Ayşenur
authors.initials: A
authors.lastname: Çelik
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D002832:Choroid Hemorrhage / Q000139:chemically induced*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D019934:International Normalized Ratio; D014859:Warfarin / Q000009:adverse effects*
chemical_list: D000925:Anticoagulants; D014859:Warfarin