Background: Young patients with vitreous, retinal and subvitreal haemorrhages without neovascularisation or prior trauma are a diagnostic challenge for the ph ysician. In this case report, a patient is presented who d...Background: Young patients with vitreous, retinal and subvitreal haemorrhages without neovascularisation or prior trauma are a diagnostic challenge for the ph ysician. In this case report, a patient is presented who developed unilateral, s pontaneous, subvitreal, retinal and subretinal haemorrhages and was diagnosed wi th von Willebrand’s disease. Case report: A 33-year-old Caucasian woman prese nted at our clinic with unilateral subvitreal, retinal and subretinal haemorrhag es. The haemorrhages occurred spontaneously without prior trauma, and the patien t had no history of prior bleeding complications. Analysis of the coagulation-f ibrinolysis system and von Willebrand multimer analysis led to the diagnosis von Willebrand’s disease type I. Conclusions: Spontaneous subvitreal, retinal and subretinal haemorrhages may be associated with coagulation disorders. Especially in young patients, von Willebrand’s disease should be considered as a possible cause.展开更多
文摘Background: Young patients with vitreous, retinal and subvitreal haemorrhages without neovascularisation or prior trauma are a diagnostic challenge for the ph ysician. In this case report, a patient is presented who developed unilateral, s pontaneous, subvitreal, retinal and subretinal haemorrhages and was diagnosed wi th von Willebrand’s disease. Case report: A 33-year-old Caucasian woman prese nted at our clinic with unilateral subvitreal, retinal and subretinal haemorrhag es. The haemorrhages occurred spontaneously without prior trauma, and the patien t had no history of prior bleeding complications. Analysis of the coagulation-f ibrinolysis system and von Willebrand multimer analysis led to the diagnosis von Willebrand’s disease type I. Conclusions: Spontaneous subvitreal, retinal and subretinal haemorrhages may be associated with coagulation disorders. Especially in young patients, von Willebrand’s disease should be considered as a possible cause.
