Dr.Diksha Prakash, D15269
Purpose – To report an unusual case where the diagnosis of haemophilia was made after corneal tear repair and intractable hyphema. Methods- A 21 year gentleman presenting with corneal tear and raised intraocular pressure after trauma was taken up for corneal tear repair but intractable bleeding was noted during surgery. The blood tests done preoperatively were normal. During corneal tear repair, intraoperative bleed could not be controlled with air or OVD tamponade. On post operative day 1, full chamber hyphema was noted. Results- Given the unusual bleeding, the patient was referred to the physician for further evaluation. Laboratory studies revealed a diagnosis of haemophilia A. Conclusion- This case report illustrates the difficulties in management of ocular trauma in a patient of Hemophilia A and the need of proper history taking and management of systemic conditions before planning for surgery.
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