HJO  >> Vol. 2 No. 4 (December 2013)

    内眼手术中产生驱赶性头绪膜上腔出血的临床不雅察
    Clinical Observation of Expulsive Suprachoroidal Hemorrhage during Surgery

  • 全文下载: PDF(156KB) HTML    PP.36-38   DOI: 10.12677/HJO.2013.24008  
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作者:  

夏翠然,苏 杭:沈阳何氏眼科医院,沈阳

关键词:
驱赶性头绪膜出血风险身分治疗Expulsive Suprachoroidal Hemorrhage; Risk Factor; Treatment

摘要:

目标:分析产生在内眼手术中驱赶性头绪膜上腔出血的缘由和治疗转归。办法:搜集内眼手术中产生驱赶性头绪膜上腔出血患者11例,男性6例,女性5例,分析其原病发种类,手术类型,治疗办法和治疗后果。成果:11例患者中手术前归并法眼压7例,个中2例是玻璃体切割术后;4例眼压正常。手术类型分别是小梁切除术3例,青光眼白内障结合手术4例,白内障手术2例,II期人工晶体植入2例。4例实施了玻璃体切割硅油填充 + 后巩膜放液手术,7例守旧治疗。随访6~12个月,2例眼球萎缩,3例无光感,光感1例,2例手动,最好改正目力:30.02~0.110.210.4结论:手术前法眼压是内眼手术中产生驱赶性头绪膜上腔出血的高危身分;关于出血严重患者行玻璃体切割结合引流头绪膜上腔积血是处理驱赶性头绪膜上腔出血的有效办法。
>Objective: To analyze the causes and therapeutic outcome of expulsive suprachoroidal hemorrhage during surgery. Methods: This study collected 11 cases (6 male and 5 female, 11 eyes) with expulsive suprachoroida hemor- rhage during intraocular surgery. The primary disease type, surgery type, intraocular pressure, and therapeutic methods and effect were analyzed. Results: Pre-surgery high intraocular pressure occurred in 7 eyes. In 11 eyes, 3 eyes were performed trabeculectomy, 4 eyes were performed cataract extraction combined with trabeculectomy, 2 eyes were per- formed cataract surgery, and 2 eyes were performed phase II IOL implantation. In 11 cases, 4 cases underwent secondary surgical intervention with radial sclerotomies combined with vitrectomy and silicone oil filling, and the rest cases underwent conservative treatment. These cases were followed up for 6 to 12 months, and finally atrophy occurred in 2 eyes, no light sensor occurred in 3 eyes, light sensors occurred in 1 eye, hand move occurred in 2 eyes, best corrected vision acuity (BCVA) 0.02 to 0.1 occurred in 3 eyes, BCVA 0.2 occurred in 1 eye, and BCVA 0.4 occurred in 1 eye. Conclusion: Preoperative high intraocular pressure is a risk factor for expulsive suprachoroidal hemorrhage during sur- gery. Radial sclerotomy combined vitrectomy and silicone oil filling can effectively treat severe expulsive suprachor- oidal hemorrhage.

文章援用:
夏翠然, 苏杭. 内眼手术中产生驱赶性头绪膜上腔出血的临床不雅察[J]. 眼迷信, 2013, 2(4): 36-38. http://dx.doi.org/10.12677/HJO.2013.24008