Holden R
Department of Ophthalmology, St Woolos Hospital, Newport, Gwent, UK.
Postgrad Med J. 1991 Nov;67(793):1008-10. doi: 10.1136/pgmj.67.793.1008.
Spontaneous hyphaema in patients on systemic anticoagulants has been described in normal eyes and also in eyes with certain intraocular lenses following cataract surgery. These cases are rare and in all the reported cases the hyphaemas resolved without sequelae. Four cases are reported here of spontaneous hyphaemas in previously abnormal eyes of patients on anticoagulants. Three of these patients suffered considerable pain as a result of this. The reasons for this are discussed and early ophthalmic referral recommended if a hyphaema is suspected in these situations.
接受全身抗凝治疗的患者出现自发性前房积血，在正常眼睛以及白内障手术后植入某些人工晶状体的眼睛中均有报道。这些病例很罕见，且在所有报道的病例中，前房积血均自行消退，未留下后遗症。本文报告了4例接受抗凝治疗的患者在先前异常的眼睛中出现自发性前房积血的病例。其中3例患者因此遭受了相当大的痛苦。本文讨论了出现这种情况的原因，并建议在这些情况下如果怀疑有前房积血应尽早转诊至眼科。
