Arnold P N
J Cataract Refract Surg. 1992 Sep;18(5):489-94. doi: 10.1016/s0886-3350(13)80104-6.
Acute intraoperative suprachoroidal hemorrhage or effusion (AISH) was studied in a prospective manner over the past three years. In a general cataract surgery population of 2,523 patient eyes, 15 (0.6%) experienced an AISH. Results of a specific surgical management technique are presented. Surgical control of the AISH consisted of immediate closure of the incision and application of pressure directly to the eye. This tamponades the effusion or hemorrhage, which allows coagulation and completion of the case. There was no attempt to drain the suprachoroidal space. All cases were completed the same day, usually within an hour. The postoperative visual acuities were quite good--20/40 or better in 93% of cases. Factors contributing to AISH were 4+ brunescent nuclear sclerosis, the large incision used with nucleus expression extracapsular cataract extraction, and the combination of anticoagulation and systemic vascular disease.
在过去三年中，我们对急性术中脉络膜上腔出血或积液（AISH）进行了前瞻性研究。在2523例接受白内障手术的患者眼中，有15例（0.6%）出现了AISH。本文介绍了一种特定手术管理技术的结果。AISH的手术控制包括立即关闭切口并直接对眼球施加压力。这可压迫积液或出血，从而实现凝血并完成手术。未尝试引流脉络膜上腔。所有病例均在当天完成，通常在一小时内。术后视力相当好——93%的病例视力达到20/40或更好。导致AISH的因素包括4级棕色核硬化、在核娩出法白内障囊外摘除术中使用的大切口，以及抗凝治疗与全身性血管疾病的联合。
