Clinical Observation of Expulsive Suprachoroidal Hemorrhage during Surgery
>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.
文章引用: 夏翠然 , 苏 杭 (2013) 内眼手术中发生驱逐性脉络膜上腔出血的临床观察。 眼科学， 2， 36-38. doi: 10.12677/HJO.2013.24008
 张振平, 钱益勇, 郑丹莹, 等 (2004) 超声乳化白内障吸除术中驱逐性脉络膜上腔出血五例. 中华眼科杂志, 40, 490-491.
 The Fluorouracil Filtering Surgery Study Group (1992) Risk factors for suprachoroidal hemorrhage after filtering surgery. American Journal of Ophthalmology, 113, 501-507.
 卢向红, 魏文斌 (2005) 驱逐性脉络膜上腔出血的危险因素和预后分析. 临床眼科杂志, 13, 76-78.
 方丽华, 方臻, 徐格致 (2003) 内眼手术驱逐性脉络膜上腔出血的临床分析. 中国中医眼科杂志, 13, 162-164.