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Severe post-laser suprachoroidal haemorrhaging in a diabetic patient receiving anticoagulants
  1. A Mikawa1,
  2. S Honda1,
  3. I Sugita1,
  4. N Okamoto1,
  5. H Toda1
  1. 1Department of Ophthalmology, Kitano Hospital, Tazukekofukai Medical Research Institute, Osaka, Japan
  1. Correspondence to: A Mikawa Department of Ophthalmology, Kitano Hospital, Tazukekofukai Medical Research Institute, 2-4-20 Ougimachi, Kita-ku, Osaka 530-8480, Japan; a-matsuokitano-hp.or.jp

https://doi.org/10.1136/bjo.2004.043489

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    Although the aetiology is not well understood, expulsive suprachoroidal haemorrhaging (ESH) is the most severe complication associated with intraocular surgery. Anticoagulants are considered a risk factor for spontaneous suprachoroidal haemorrhaging in cases with high myopia, age related macular degeneration, and diabetic retinopathy.1–5 However, ESH post photocoagulation is extremely rare regardless of anticoagulant therapy. We have experienced a severe case of post-laser ESH correlated with anticoagulant therapy, which resulted in irreversible visual disturbance.

    Case report

    A 70 year old woman was diagnosed with pre-proliferative diabetic retinopathy based on fluorescein angiographic examinations. Two months before diagnosis, she had right eye cataract surgery. During the past 6 years, the patient received warfarin (4 mg/day) and aspirin …

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