Spontaneous Suprachoroidal Hemorrhage in a Thirteen-year Old Child with Thrombocytopenic Purpura

Tariq Al-Debasi^{1, 2}, Mohammed K. Khuthaila^{1, 3}, Abdulmajeed S. Al-Fakhri¹, Yazeed A. Al-Ferayan², Rabia Bashir¹, Abdulmalik Abbasi¹, Abdulmalik M. Alkatheri^{1, 4} and Abdulkareem M. Al Bekairy^{1, 4,}

¹Division of Ophthalmology, King Abdulaziz Medical City-Riyadh, National Guard Health Affairs, Riyadh, Saudi Arabia

²College of Medicine, and King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia

³Division of Ophthalmology King Faisal Specialist Hospital, Riyadh, Saudi Arabia

⁴College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, National Guard Health Affairs, Riyadh, Saudi Arabia

Cite this paper

Tariq Al-Debasi, Mohammed K. Khuthaila, Abdulmajeed S. Al-Fakhri, Yazeed A. Al-Ferayan, Rabia Bashir, Abdulmalik Abbasi, Abdulmalik M. Alkatheri and Abdulkareem M. Al Bekairy. Spontaneous Suprachoroidal Hemorrhage in a Thirteen-year Old Child with Thrombocytopenic Purpura. American Journal of Medical Case Reports. 2017; 5(6):156-159. doi: 10.12691/AJMCR-5-6-6

Abstract

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.

Keywords

idiopathic thrombocytopenia purpura, surgical drainage, total choroidal detachment

Copyright

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