中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
6期
751-753
,共3页
张贤文%崔兰%黄洁成%茅彦%吴海英
張賢文%崔蘭%黃潔成%茅彥%吳海英
장현문%최란%황길성%모언%오해영
暴发性%脉络膜%出血%预防%治疗
暴髮性%脈絡膜%齣血%預防%治療
폭발성%맥락막%출혈%예방%치료
Fulminant%Choroidal%Hemorrhage%Prevention%Treatment
目的 探讨暴发性脉络膜上腔出血的原因、临床表现、预防及治疗.方法 对8例8只眼暴发性脉络膜上腔出血进行术中应急处理,术后对症保守治疗或手术治疗.结果 随访一年6例白内障治疗后视力恢复到0.4~0.8(矫正),眼压正常;1例新生血管性青光眼再次睫状体电透热术后,眼压恢复正常;早期病例的1例白内障患者行角巩缘大切口白内障囊外摘除术,发生暴发性脉络膜上腔出血后,给予各种对症治疗,眼压仍高,一年后眼球萎缩.结论 该病的发生都有局部和全身的原因,内眼术中控制好眼内压波动是有效地预防方法,术中及时有效地关闭创口最重要,术后对症保守治疗亦可获得较好效果.
目的 探討暴髮性脈絡膜上腔齣血的原因、臨床錶現、預防及治療.方法 對8例8隻眼暴髮性脈絡膜上腔齣血進行術中應急處理,術後對癥保守治療或手術治療.結果 隨訪一年6例白內障治療後視力恢複到0.4~0.8(矯正),眼壓正常;1例新生血管性青光眼再次睫狀體電透熱術後,眼壓恢複正常;早期病例的1例白內障患者行角鞏緣大切口白內障囊外摘除術,髮生暴髮性脈絡膜上腔齣血後,給予各種對癥治療,眼壓仍高,一年後眼毬萎縮.結論 該病的髮生都有跼部和全身的原因,內眼術中控製好眼內壓波動是有效地預防方法,術中及時有效地關閉創口最重要,術後對癥保守治療亦可穫得較好效果.
목적 탐토폭발성맥락막상강출혈적원인、림상표현、예방급치료.방법 대8례8지안폭발성맥락막상강출혈진행술중응급처리,술후대증보수치료혹수술치료.결과 수방일년6례백내장치료후시력회복도0.4~0.8(교정),안압정상;1례신생혈관성청광안재차첩상체전투열술후,안압회복정상;조기병례적1례백내장환자행각공연대절구백내장낭외적제술,발생폭발성맥락막상강출혈후,급여각충대증치료,안압잉고,일년후안구위축.결론 해병적발생도유국부화전신적원인,내안술중공제호안내압파동시유효지예방방법,술중급시유효지관폐창구최중요,술후대증보수치료역가획득교호효과.
Objective To investigate the reasons of fulminant choroidal hemorrhage,clinical manifestations,prevention and treatment.Methods Eight eyes (8 cases) of fulminant choroidal hemorrhage received surgery in emergency treatment,postoperative symptomatic conservative treatment,and surgical treatment,given a one-year follow-up.Results Six cases (6 cataract eyes) had the visual acuity to 0.4 to 0.8 (correction) after treatment,and intraocular pressure was normal; one patient (1 eye) with neovascular glaucoma carried out once again the ciliary body electric diathermy surgery,the intraocular pressure returned to normal.One case with early cataract carried out the corneoscleral limbus large incision of extracapsular cataract extraction,occurred fulminant choroidal hemorrhage was given the variety of symptomatic treatment,the intraocular pressure was still high,and one year later the eyeball was atrophy.Conclusions The occurrence of this disease has local and systemic causes,good control of intraocular pressure fluctuations in intraocular surgery is a good way to prevent,operation in a timely and effective closure the incision is the most important,postoperative conservative treatment is the same desired effect or better results than surgery; also pay attention to the medical malpractice.