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Valsalva动作诱发脉络膜上腔出血的光学相干断层扫描评估

Optical Coherence Tomography Evaluation of Valsalva-Induced Suprachoroidal Hemorrhage.

作者信息

Zahid Sarwar, Dansingani Kunal K, Fisher Yale

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2016 Jul 1;47(7):674-6. doi: 10.3928/23258160-20160707-11.

DOI:10.3928/23258160-20160707-11
PMID:27434901
Abstract

Suprachoroidal hemorrhage is typically observed in patients with hypotony in the context of intraocular surgery and trauma. We report a rare presentation of suprachoroidal hemorrhage associated with emesis (Valsalva maneuver) in a myopic patient with few other identifiable risk factors. This diagnosis was confirmed with wide-field fundus photography and B-scan ultrasound and was localized to the suprachoroidal space using both enhanced depth and swept-source optical coherence tomography imaging. This case is unique in its presentation and demonstrates the utility of newer imaging techniques to localize hemorrhages using a multimodal approach. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:674-676.].

摘要

脉络膜上腔出血通常见于眼内手术和外伤后眼压过低的患者。我们报告了一例罕见的脉络膜上腔出血病例,该病例发生在一名近视患者身上,伴有呕吐(瓦尔萨尔瓦动作),几乎没有其他可识别的危险因素。通过广角眼底照相和B超检查确诊了该诊断,并使用增强深度扫频光学相干断层扫描成像将出血定位到脉络膜上腔。该病例的表现独特,展示了采用多模态方法利用更新的成像技术定位出血的实用性。[《眼科手术、激光与视网膜成像》。2016年;47:674 - 676。]

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