Traumatic hyphaema in a patient with severe haemophilia B

Danaee, Anicee; Patil, Jyothi; Amaya, Luis; Alamelu, Jayanthi

doi:10.1111/hae.12461

Cited by 3 publications

(2 citation statements)

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“…In the literature, the authors reported cases with hemophilia and traumatic hyphema and performed surgical evacuation after medical intervention due to complications like corneal blood staining, elevated IOP, secondary hemorrhage. 3,7,9 The most important point is the appropriate administration of the deficient factor preoperatively and postoperatively. All of the surgical procedures in the patients with hemophilia, including procedures for hemophilia-related conditions or unrelated diseases, should be carefully planned by a team of surgeon, hematologist, and anesthesiologist.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic hyphema in a patient with severe hemophilia A: Clinical features and management

Belviranlı

Özkağnıcı

Tokgöz

et al. 2019

European Journal of Ophthalmology

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Purpose: To describe a case of traumatic hyphema in a patient with severe hemophilia A. Case: We present a case of a 16-year-old boy with severe hemophilia A who presented to our ophthalmology department with total hyphema and elevated intraocular pressure 3 days after a history of blunt ocular trauma on his right eye. Due to the persistent intraocular pressure elevation and total hyphema despite medical intervention, an early anterior chamber washout was performed with the replacement of factor VIII preoperatively and postoperatively. Re-bleeding or any other complications were not experienced during surgery or postoperatively. At the first postoperative week, 20/20 visual acuity and a normal intraocular pressure without antiglaucoma medication was retained and remained stable during the 6-month follow-up. Conclusion: In such cases with hemophilia A, traumatic hyphema, and intraocular pressure elevation despite medical intervention, an early surgical clot removal under intense factor VIII replacement could be performed. In the early postoperative period, factor replacement should be resumed in order to avoid re-bleeding.

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Section: Discussionmentioning

confidence: 99%

“…Spontaneous or traumatic hyphema is not a common complication in hemophilia. 2,3 In this report, we aimed to present the clinical features and management of a patient with traumatic hyphema and severe hemophilia A.…”

Section: Introductionmentioning

confidence: 99%