Ocular hemorrhage due to warfarin: Five case reports

Year 2013, Volume: 30 Issue: 4, 389 - 393, 05.02.2014

Sedat Koçak , Esma Erdemir Birsen Ertekin , Başar Cander , Cesareddin Dikmetaş

https://doi.org/10.5835/jecm.omu.30.05.025

Abstract

An increase in the number of patients treated with anticoagulants has given rise to complications. In present study, five cases with ocular hemorrhages treated with warfarin were presented. Three men and two women applying to emergency between September 2008 and January 2012 were presented. Of cases, one was 55, and others were 65 and over. International normalized ratio (INR) values were, in turn, as follows: 5.40 in case 1, 8.33 in case 2, no coagulation in cases 3 and 4, and 5.30 in case 5. TDP was used in four cases, but merely warfarin treatment was discontinued in one case. No complication developed, and all cases were discharged as INR returned to therapeutic levels. Patients absorbing warfarin may apply to the emergency with atypical hemorrhages, one of which is ocular type. Patients known to be treated with anticoagulants should be evaluated in detail as to clear or unclear hemorrhages. 

Keywords

Emergency medicine, International normalized ratio, Ocular hemorrhage, Warfarin

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