Desai U R, Peyman G A, Chen C J, Nelson N C, Alturki W A, Blinder K J, Paris C L
LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans 70112.
Ophthalmology. 1992 Oct;99(10):1542-7. doi: 10.1016/s0161-6420(92)31756-7.
Suprachoroidal hemorrhage may cause the expulsion of intraocular contents. Generally, cases of nonexpulsive suprachoroidal hemorrhage have a better outcome than their expulsive counterparts. Those cases with massive nonexpulsive suprachoroidal hemorrhage do better with treatment than without. Treatment modalities have included suprachoroidal hemorrhage drainage with or without intraocular volume reformation, and vitrectomy.
The authors used the liquid perfluorocarbon perfluoroperhydrophenanthrene in the treatment of three patients with nonexpulsive suprachoroidal hemorrhage. The perfluorocarbon was injected into the vitreous cavity while the suprachoroidal blood was drained through anterior sclerotomies.
With 5 months of follow-up, complete resolution of the suprachoroidal blood was noted in all patients. All three patients had attached retinas, and postoperative visual acuities were improved over preoperative visual acuities.
Perfluoroperhydrophenanthrene and other perfluorocarbon liquids may be beneficial in the treatment of certain cases of nonexpulsive suprachoroidal hemorrhages.
脉络膜上腔出血可能导致眼内内容物排出。一般来说,非排出性脉络膜上腔出血病例的预后比排出性病例更好。那些大量非排出性脉络膜上腔出血的病例接受治疗后的效果优于未接受治疗的情况。治疗方式包括有或无眼内容物重建的脉络膜上腔出血引流以及玻璃体切除术。
作者使用全氟萘烷液体治疗3例非排出性脉络膜上腔出血患者。在通过前巩膜切口引流脉络膜上腔血液的同时,将全氟碳化合物注入玻璃体腔。
经过5个月的随访,所有患者脉络膜上腔血液均完全吸收。所有3例患者视网膜均已复位,术后视力均较术前有所提高。
全氟萘烷和其他全氟碳化合物液体可能对某些非排出性脉络膜上腔出血病例的治疗有益。