Non-traumatic ocular and periocular hemorrhages in a hypertensive patient under continuous ambulatory peritoneal dialysis and warfarin therapy.

Abstract

We herein present the first reported case of severe proptosis caused by ocular and periocular hemorrhages in a continuous ambulatory peritoneal dilaysis patient without previous history of trauma. The bleeding tendency caused by uremia and the use of warfarin during uncontrolled high blood pressure were most likely responsible for her ocular and periocular hemorrhages. Appropriate control of blood pressure and adequate self-care education are important for the prevention and treatment of any bleeding complications in uremic patients receiving both maintenance anticoagulation therapy and peritoneal dialysis.

• Authors: Hung-Wen Yen, Ling-Ing Lau, Wu-Chang Yang, Pei-Yu Lin, Chia-Lin Shen, Fen-Hsiang Hu, Chih-Ching Lin
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 53 Issue 20 Pg. 2337-9 ( 2014) ISSN: 1349-7235 [Electronic] Japan
• PMID: 25318799 (Publication Type: Case Reports, Journal Article)

Chemical References

• Warfarin

Topics

• Adult
• Exophthalmos (etiology)
• Eye
• Female
• Hemorrhage (complications, etiology)
• Humans
• Hypertension (complications)
• Peritoneal Dialysis, Continuous Ambulatory (adverse effects)
• Uremia (complications)
• Warfarin (adverse effects)