Spierer A, Desatnik H
Goldschleger Eye Institute, Sheba Medical Center, Tal-Hashomer, Israel.
Metab Pediatr Syst Ophthalmol (1985). 1998;21(1-4):19-21.
This article reports a spontaneous intracameral bleeding at the end of cataract surgery in both eyes of two patients with Lowe syndrome. Extracapsular cataract extraction with anterior vitrectomy and posterior capsulotomy, using the anterior chamber maintainer (ACM), was performed in both eyes of two patients. At the conclusion of the surgery, when the ACM was removed, spontaneous bleeding occurred into the anterior chamber and spread into the vitreous cavity. The hemorrhage resolved spontaneously over varying periods of time. We propose that bleeding occurred from damage to iris vessels in the abnormal angle in our patients with Lowe syndrome when the ACM was removed with a concomitant decrease in intraocular pressure.
本文报道了两例患有 Lowe 综合征的患者双眼在白内障手术结束时发生的自发性前房内出血。对这两名患者的双眼均进行了采用前房维持器（ACM）的囊外白内障摘除联合前部玻璃体切除术及后囊切开术。手术结束时，当移除 ACM 时，前房内发生自发性出血并蔓延至玻璃体腔。出血在不同时间段内自行消退。我们认为，在患有 Lowe 综合征的患者中，当移除 ACM 并伴有眼压降低时，异常房角处的虹膜血管受损导致了出血。
