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Thrombolysis-induced ocular bleeding.

Hemorrhage is a well-known complication of thrombolytic therapy, but possible involvement of the retina is less well known, said Riyaz A. Kaba, M.D., and associates at Hillingdon Hospital, Uxbridge, England.

They reported the case of a 66-year-old man who received thrombolytic therapy when he presented with acute MI. Within a few hours, he had impaired vision in his left eye. Fundoscopic examination revealed subretinal hemorrhage, predominantly at the macular and posterior pole, and a large pool of blood between the retina and the vitreous base (Lancet 2005;365:330).

The vitreous hemorrhage brought on by thrombolysis persisted at 3-month follow-up, and vision in the patient's left eye remained impaired.
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Author:Moon, Mary Ann
Publication:Internal Medicine News
Article Type:Brief Article
Geographic Code:1USA
Date:Mar 15, 2005
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