CAJ | 학술논문

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.
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.