eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-07-12 5 6 156 159 10.12691/ajmcr-5-6-6 AJMCR2017566 article Tariq Al-Debasi 1 2 Mohammed K. Khuthaila 2 3 Abdulmajeed S. Al-Fakhri 3 Yazeed A. Al-Ferayan 3 Rabia Bashir 3 Abdulmalik Abbasi 3 Abdulmalik M. Alkatheri 3 4 Abdulkareem M. Al Bekairy Bekairya@ksau-hs.edu.sa 4 4 Division of Ophthalmology, King Abdulaziz Medical City-Riyadh, National Guard Health Affairs, Riyadh, Saudi Arabia 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. http://pubs.sciepub.com/ajmcr/5/6/6/ajmcr-5-6-6.pdf idiopathic thrombocytopenia purpura surgical drainage total choroidal detachment