장기간 양파즙을 복용한 환자에서 안과 수술 중 발생한 출혈성 경향 2예

Abstract

Purpose: To report a two cases of bleeding tendency in patient with long-term taking onion-juice undergoing elective ophthalmic surgery. Case summary: (Case 1) A 56-year-old male visited our clinic due to blepharoptosis of both upper eyelid for 2 years. Marginal re flex distance1 was 1.5 mm in the both eyes. According to levator function test, the distance was 10 mm and 11 mm, respectively. In diagnosis blepharoptosis of both eyes, levator advancement operation was performed. During surgery, massive hemorrhage without hemostatsis occurred and took twice the usual operation time. In medical history, physical examination and laboratorial blood test performed prior to surgery, there were no underlying medical disease, including hypertension and diabetes mellitus and abnormal specific findings, but history of long-term taking onion-juice was confirmed through additional medical history taking. (Case 2) A 65-year-old male diagnosed with primary open-angle glaucoma 10 years ago, visited our clinic due to uncon trolled intraocular pressure (IOP) of his left eye. IOP was 29 mmHg in his left eye and uncontrolled by glaucoma eyedrops. There were no underlying medical disease and abnormal laboratorial findings. He underwent trabeculectomy after one week of dis continuation of aspirin. During surgery, hemorrhage without hemostatsis and massive subconjunctival hemorrhage occurred. As in the first case, the history of long-term taking onion-juice was confirmed through additional medical history taking. Conclusions: We should pay attention for the bleeding tendency in patient with long-term taking onion-juice, and physicians may consider careful history taking of foods, such as onion-juice.