American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2017, 5(6), 156-159
DOI: 10.12691/ajmcr-5-6-6
Open AccessCase Report

Spontaneous Suprachoroidal Hemorrhage in a Thirteen-year Old Child with Thrombocytopenic Purpura

Tariq Al-Debasi1, 2, Mohammed K. Khuthaila1, 3, Abdulmajeed S. Al-Fakhri1, Yazeed A. Al-Ferayan2, Rabia Bashir1, Abdulmalik Abbasi1, Abdulmalik M. Alkatheri1, 4 and Abdulkareem M. Al Bekairy1, 4,

1Division of Ophthalmology, King Abdulaziz Medical City-Riyadh, National Guard Health Affairs, Riyadh, Saudi Arabia

2College of Medicine, and King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia

3Division of Ophthalmology King Faisal Specialist Hospital, Riyadh, Saudi Arabia

4College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia

Pub. Date: July 12, 2017

Cite this paper:
Tariq Al-Debasi, Mohammed K. Khuthaila, Abdulmajeed S. Al-Fakhri, Yazeed A. Al-Ferayan, Rabia Bashir, Abdulmalik Abbasi, Abdulmalik M. Alkatheri and Abdulkareem M. Al Bekairy. Spontaneous Suprachoroidal Hemorrhage in a Thirteen-year Old Child with Thrombocytopenic Purpura. American Journal of Medical Case Reports. 2017; 5(6):156-159. doi: 10.12691/ajmcr-5-6-6

Abstract

We report a paediatric idiopathic thrombocytopenia purpura (ITP) patient with primary spontaneous suprachoroidal haemorrhage (SSCH). The patient was diagnosed of ITP based on platelets count and morphology. Eye ultrasound indicated SSCH with total choroidal detachment. After improvement of the patient platelet count using immunoglobulin treatment, two surgical vitrectomy were performed on the patient with 3-weeks interval. After six months-follow up, the patient revealed normal IOP and hand motion vision in the left eye. We recommend that ITP should be considered as one of the risk factors for vision threatening ocular haemorrhages even for paediatric patients.

Keywords:
idiopathic thrombocytopenia purpura surgical drainage total choroidal detachment

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References:

[1]  Cooper N, Bussel J. The pathogenesis of immune thrombocytopenia purpura. Br J Haematol 2006; 133: 364-374.
 
[2]  Srikanth K, Kumar M. Spontaneous expulsive suprachoroidal haemorrhage caused by decompensated liver disease. Indian J Ophthalmol 2013; 61(2):78-79.
 
[3]  Shah PA, Yang SS, Fung WE. Idiopathic thrombocytopenic purpura with massive subretinal haemorrhage. Arch Ophthalmol 2005; 123: 1612-1613.
 
[4]  Srinivasan M, Chakrabarti A, Chakrabarti M. Expulsive haemorrhage in a case of Thrombocytopenia Purpura. Indian J Ophthalmol 1996; 44: 44-45.
 
[5]  Frankel CA, Pastore DJ. Idiopathic thrombocytopenia purpura with intracranial hemorrhage and vitreous hemorrhage. Clin Pediatr (Phila) 1990; 29(12):725-728.
 
[6]  Chu TG, Green RL. Suprachoroidal haemorrhage. Surv Ophthalmol 1999; 43(6):471-486.
 
[7]  Chandra A, Barsam A, Hugkulstone CA. Spontaneous suprachoroidal haemorrhage: a case report. Cases J 2009; 2:185.
 
[8]  Alexandrakis G, Chaudhry NA, Liggett PE, Weitzman M. Spontaneous suprachoroidal haemorrhage in age-related macular degeneration presenting as angle-closure glaucoma. Retina 1998; 18(5): 485-486.
 
[9]  Nguyen NY, Nork TM. Massive spontaneous suprachoroidal haemorrhage in a young woman with cystic fibrosis and diabetes mellitus on anticoagulants. Retin Cases Brief Rep 2012; 6(2): 216-218.
 
[10]  Chak M, Williamson T. Spontaneous suprachoroidal haemorrhage associated with high myopia and aspirin. Eye 2003; 17(4): 525-527.