DR. SYED FARAAZ HUSSAIN

DR. PRIYANKA GANDHI

Abstract

Suprachoroidal haemorrhage (SCH) is a rare, but potentially vision threatening pathology. It occurs when blood from the long or short ciliary arteries fills within the space between the choroid and the sclera.

Here we present a case of spontaneous suprachoroidal haemorrhage in a two year old child, who presented to the department of paediatrics with multiple bruises all over the body, fever and altered sensorium with seizures of recent onset. An ophthalmology call was given on the day of admission to rule out any retinal haemorrhages. Spontaneous SCH were seen on fundus examination of both eyes. USG B SCAN of both eyes confirmed suprachoroidal haemorrhage which then progressed to vitreous haemorrhage completely blocking the fundus view. Coagulation studies were done and the child was found to have a clotting factor V and X deficiency. The child was admitted under paediatrics in the ICU and close monitoring was done.