Open AccessAcute suprachoroidal haemorrhage post-tenecteplase thrombolysis for myocardial infarction: management considerations
Author(s) -
Sameer Trikha,
Alastair Lockwood,
Narman Puvanachandra,
James Kirwan
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.11.2009.2460
Subject(s) - tenecteplase , medicine , thrombolysis , myocardial infarction , intensive care medicine , tissue plasminogen activator , cardiology
We report a case of a 63-year-old man who received intravenous tenecteplase as thrombolytic therapy for an inferior ST elevation myocardial infarction. Three hours later he complained of blurred vision in the right eye and on examination had sustained a suprachoroidal haemorrhage. With conservative treatment the haemorrhage resolved, leading to a normalisation of visual acuity. To the authors' knowledge, no case reports exist of this rare complication following intravenous tenecteplase. We discuss implications for further thrombolysis and anticoagulation.