Search
ocular hemorrhage (hemophthalmos)
Etiology:
- risk of anticoagulants is low (~ 14 per 10,000 patients) [1]
- risk may be slightly lower with the direct anticoagulants than with warfarin (RR=0.75)
- clopidogrel & prasugrel seem not to increase risk [1]
Laboratory:
1) complete blood count (CBC), rule out thrombocytopenia
2) prothrombin time (PT) & INR
3) aPTT
Management: Maxitrol
Specific
hyphema (anterior chamber hemorrhage)
retinal hemorrhage (RHe)
subconjunctival hemorrhage
vitreous hemorrhage (VH, VHe)
General
eye disease (ophthalmopathy)
hemorrhage (bleeding)
References
- Uyhazi KE, Miano T, Pan W, VanderBeek BL
Association of novel oral antithrombotics with the risk of
intraocular bleeding.
JAMA Ophthalmol 2018 Feb; 136:122
PMID: 29242919