Rao Aparna
Department of Glaucoma, LV Prasad Eye Institute, Bhubaneswar, Orissa, India.
BMJ Case Rep. 2014 Mar 4;2014:bcr2013203150. doi: 10.1136/bcr-2013-203150.
Suprachoroidal haemorrhage is the most dreaded complication feared by any surgeon during glaucoma surgery. Rapid explosive expulsion of intraocular contents can occur, which makes vision loss almost inevitable in most cases. Yet, adequate preparedness, prompt recognition of the earliest signs and quick closure of the wound can salvage the eye or even prevent loss of vision. This case highlights the successful visual rehabilitation and outcome in a patient with advanced glaucoma who experienced delayed expulsive haemorrhage intraoperatively.
脉络膜上腔出血是青光眼手术中任何外科医生都最担心出现的可怕并发症。眼内内容物可能会迅速爆发性排出,这使得在大多数情况下视力丧失几乎不可避免。然而,充分的准备、对最早迹象的及时识别以及伤口的快速闭合可以挽救眼球,甚至防止视力丧失。本病例突出了一名晚期青光眼患者术中发生延迟性驱逐性出血后成功的视力康复及结果。