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脉络膜上腔暴发性出血是内眼手术罕见的并发症。予后极为严重。但近年来陆续发表的病例报告中有的因术者经验不足,未能立即确诊;或因出血来势凶猛,造成术者措手不及,最终大多不得不摘除眼球。本文结合我院2例并收集国内16例因内眼手术并发本症,就应用后巩膜切开放出脉络膜上腔积血的方法加以讨论,以探求较有效的急救措施。临床资料例1 冯××女70岁左眼青光眼绝对期。行巩膜深层咬切术,当虹膜根部切除后,玻璃体脱出,虽经几次剪除眼压却逐渐升高以致创口不能闭合。改做眼球摘除术,剖开眼球见脉络膜与巩膜间有3.0×2.0×1.0cm凝血块。
Fulminant suprachoroidal hemorrhage is a rare complication of intraocular surgery. After the very serious. However, some cases reported in succession in recent years due to lack of experience of the surgeon, not immediately diagnosed; or because of bleeding is ferocious, causing surgeons by surprise, and ultimately most had to remove the eye. In this paper, we combined two cases of our hospital and collected 16 cases due to intraocular surgery complicated by this disease, the application of posterior scleral choroidal hemorrhage released to be discussed in order to explore more effective first aid measures. Clinical data Example 1 Feng × × female 70-year-old left glaucoma absolute. Line scleral deep bite resection, when the iris root excision, the vitreous prolapse, although after several times to remove the intraocular pressure but gradually increased so that the wound can not be closed. Change the eye enucleation, cut open the eye see the choroid and sclera 3.0 × 2.0 × 1.0cm clot.