Spontaneous Bilateral Suprachoroidal Hemorrhage in a Child with Idiopathic Thrombocytopenic Purpura: A Case Report

This study aimed to report the case of a 3-year-old child with Idiopathic Thrombocytopenic Purpura (ITP) presented with massive bilateral spontaneous suprachoroidal hemorrhage.

Case report:

 A three-year-old boy with a history of ITP was referred with acute painful vision loss from 2 days ago. Visual acuity was No Light Perception (NLP) for the Right Eye (RE) and Light Perception (LP) for the Left Eye (LE). Anterior segment examination showed bilateral red eye, mild corneal edema, as well as relatively shallow and symmetric anterior chamber. Bilateral massive suprachoroidal hemorrhage with retinal apposition was apparent in B-scan ultrasonography. The patient underwent bilateral SCH drainage through four sclerotomy windows, one in each quadrant of each eye. In the last follow-up examination, one week after the surgery, the visual acuity was light perception and hand motion in RE and LE, respectively. Serial B-scan sonography indicated the reduction of hemorrhage in the suprachoroidal space.

Spontaneous Supra-choroidal Hemorrhage (SSCH) is an extremely rare condition that can occur in the case of ITP. Despite the anatomical recovery of the patient following suprachoroidal drainage surgery, the visual outcome remained poor.