Non-traumatic extraocular muscle haemorrhage associated with anticoagulation use

被引:0
|
作者
Al Rayess, Dona [1 ]
Sirju, Nicolette [1 ]
Smith, Rachel [2 ]
Davies, Elizabeth Alexandra [1 ]
机构
[1] Swansea Bay Univ Hlth Board, Med, Port Talbot, Wales
[2] Swansea Bay Univ Hlth Board, Radiol, Port Talbot, Wales
关键词
Haematology (drugs and medicines); Musculoskeletal and joint disorders; Ophthalmology; Unwanted effects; adverse reactions; Radiology;
D O I
10.1136/bcr-2022-253860
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a unilateral extraocular muscle haematoma in an adult female patient who was compliant with life-long oral anticoagulation for recurrent deep vein thrombosis. The patient presented with symptoms of sudden-onset left-sided headache radiating to the temporal region, which started 2 days prior. No obvious triggering factors were identified. Cranial and ocular examinations were within normal limits. Imaging revealed a haemorrhage related to the lateral rectus muscle of the left eye. Conservative management was employed with abstinence from anticoagulation for 2 weeks and a weaning regime of oral steroids. Under the clinical review of ophthalmology and interval radiological monitoring, symptoms were reduced with reduction of haemorrhage size. Anticoagulation was reinstated after 2 weeks. To our knowledge, this is the first case of a non-traumatic extraocular muscle haematoma to be reported in a patient on anticoagulation.
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页数:3
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