Department of Ophthalmology, Gachon University Gil Hospital, Incheon, South Korea.
Indian J Ophthalmol. 2010 Nov-Dec;58(6):543-5. doi: 10.4103/0301-4738.71709.
We experienced two cases of the influx of the sclerotomy site bleeding into the anterior chamber during 23-gauge sutureless vitrectomy for pseudophakic rhegmatogenous retinal detachment. Soon after the removal of a 23-gauge microcannula at the end of the surgery, presumed sclerotomy site hemorrhage was rapidly fluxed into the anterior chamber. The anterior chamber bleeding might come from the sclerotomies rather than from episcleral vessels. The posterior pressure in the gas-filled pseudophakic eye might have pushed the sclerotomy site bleeding into the anterior chamber. We could not find any vitreous hemorrhages. The hemorrhage within the anterior chamber spontaneously absorbed within 14 days.
我们在 23 G 无缝线玻璃体切除治疗后发性孔源性视网膜脱离的过程中遇到了两例巩膜切口部位出血涌入前房的情况。手术结束时，在移除 23G 微套管后不久，疑似巩膜切口部位的出血迅速涌入前房。前房出血可能来自巩膜切口，而不是来自表层血管。充满气体的人工晶状体眼的后房压力可能将巩膜切口出血推向了前房。我们没有发现任何玻璃体积血。前房内的出血在 14 天内自发吸收。
