Garrido-Martín J, León-Aparicio J C, Fontán-Rivas E M, Gómez-López L
Servicio de Oftalmología,Hospital Comarcal Valle de los Pedroches, Pozoblanco, Córdoba, España.
Servicio de Oftalmología,Hospital Comarcal Valle de los Pedroches, Pozoblanco, Córdoba, España.
Arch Soc Esp Oftalmol. 2015 Sep;90(9):445-7. doi: 10.1016/j.oftal.2014.04.017. Epub 2014 Nov 14.
A case is presented of an 85-year-old woman living in a geriatric residence, who was admitted to the emergency department of our hospital with a spontaneous expulsive choroidal hemorrhage in her left eye. There was no a history of ophthalmic disease, and the patient only reported having intracapsular cataract surgery in both eyes 25 years ago, and that she also became blind in her left eye in the past few years.
Non-surgical spontaneous expulsive choroidal hemorrhage is a very rare and disastrous clinical event. The predisposing factors involved are: advancing age, vascular illness (especially atherosclerosis), glaucoma, and severe corneal damage.
本文介绍了一名85岁居住在老年公寓的女性患者，她因左眼自发性脉络膜出血而被收治入我院急诊科。该患者无眼部疾病史，仅报告25年前双眼接受了白内障囊内摘除术，且在过去几年中左眼失明。
非手术性自发性脉络膜出血是一种非常罕见且灾难性的临床事件。相关的诱发因素包括：年龄增长、血管疾病（尤其是动脉粥样硬化）、青光眼和严重的角膜损伤。
