Sharma Poonam S, Stone Donald U
Dean A McGee Eye Institute, Department of Ophthalmology, University of Oklahoma, College of Medicine, Oklahoma City, OK 73104, USA.
Cornea. 2007 Dec;26(10):1273-4. doi: 10.1097/ICO.0b013e318148bd80.
To present a case of corneal blood staining due to a hemorrhagic Descemet membrane detachment and describe a method of surgical intervention.
Observation of clinical features and outcome of surgical intervention.
A 72-year-old man had an anterior-chamber intraocular lens removed for presumed uveitis-glaucoma-hyphema syndrome, and he developed an intraoperative hemorrhagic detachment of the Descemet membrane attributed to peripheral corneal neovascularization. Corneal blood staining rapidly developed, and a partial-thickness paracentesis was required to evacuate the lamellar hematoma and allow reattachment of the Descemet membrane.
Hemorrhage from posterior corneal vessels can result in a hemorrhagic detachment of the Descemet membrane. Corneal blood staining can develop rapidly in an intracorneal or retrocorneal hemorrhage. The blood can be removed without incising the Descemet membrane by making a partial-thickness paracentesis.
报告1例因出血性Descemet膜脱离导致角膜血染的病例，并描述一种手术干预方法。
观察临床特征及手术干预结果。
一名72岁男性因疑似葡萄膜炎-青光眼-前房积血综合征接受了前房型人工晶状体摘除术，术中因周边角膜新生血管形成导致Descemet膜出血性脱离。角膜迅速发生血染，需要进行部分厚度的前房穿刺以排出板层血肿并使Descemet膜重新附着。
角膜后血管出血可导致Descemet膜出血性脱离。角膜内或角膜后出血可迅速发生角膜血染。通过进行部分厚度的前房穿刺，可在不切开Descemet膜的情况下清除血液。
