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Vitreous, retinal and subretinal hemorrhages associated with von Willebrand's syndrome

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Abstract

Two patients with von Willebrand's syndrome had intraocular hemorrhages without trauma or neovascularization. A 13-year-old Japanese girl complained of sudden spotted vision in her left eye. Vitreous, peripapillary retinal, and subretinal hemorrhages were seen by ophthalmoscopy in the affected eye. In addition, a 19-year-old Japanese man had repeated vitreous hemorrhage and epistaxis. Also noted was gyrate atrophy of the choroid and retina. Analysis of the coagulation-fibrinolysis system revealed decreased activities of Factor VIII and von Willebrand's factor in both patients. The amount of von Willebrand's factor antigen also was decreased. These results suggested that the patients had von Willebrand's syndrome. The bleeding tendency in the disorder appeared to be responsible for the pathogenesis of the intraocular hemorrhages seen in these patients.

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Authors and Affiliations

  1. Department of Ophthalmology, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980, Sendai, Japan

    Takashi Shiono, Schin-ichi Abe, Tamaki Watabe, Michiru Noro & Makoto Tamai

  2. Third Department of Internal Medicine, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980, Sendai, Japan

    Yasuyuki Akutsu, Masaaki Ishikawa, Sozo Suzuki & Kazuo Mori

Authors
  1. Takashi Shiono
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  2. Schin-ichi Abe
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  3. Tamaki Watabe
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  4. Michiru Noro
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  5. Makoto Tamai
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  6. Yasuyuki Akutsu
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  7. Masaaki Ishikawa
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  8. Sozo Suzuki
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  9. Kazuo Mori
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Correspondence to: T. Shiono

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Shiono, T., Abe, Si., Watabe, T. et al. Vitreous, retinal and subretinal hemorrhages associated with von Willebrand's syndrome. Graefe's Arch Clin Exp Ophthalmol 230, 496–497 (1992). https://doi.org/10.1007/BF00175940

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  • DOI: https://doi.org/10.1007/BF00175940

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