Submacular Hemorrhage in a Patient on Rivaroxaban

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File number: 78888


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    • By Fang Helen Mi
      National Healthcare Group Eye Institute, Tan Tock Seng Hospital
      Co-author(s): Dr Gan Yi'an Nicola, Consultant, National Healthcare Group Eye Institute, Tan Tock Seng Hospital
    • Uploaded on Jul 5, 2021.
    • Last modified by Caroline Bozell on Jul 6, 2021.
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    Appears in
    Sub Macular Hemorrhage secondary to Polypoidal Choroidal Vasculopathy
    Condition/keywords
    submacular hemorrhage, Rivaroxaban, polypoidal choroidal vasculopathy (PCV)
    Imaging device
    Fundus camera
    Clarus Camera
    Description
    A 69-year-old gentleman with a history of atrial fibrillation on Factor Xa inhibitor (rivaroxaban) presented to the Ophthalmology service with acute blurring of vision in the right eye one day after intravitreal aflibercept injection. Fundus examination revealed a massive foveal-involving sub-macular hemorrhage with associated serosanguineous retinal detachment and hemorrhagic retinal pigment epithelial detachment. This multi-layer retinal hemorrhage was further confirmed with optical coherence tomography.

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