Wang Shih Hao, Lim Chen Chee, Teng Yu Ti
Department of Ophthalmology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Case Rep Ophthalmol. 2017 Jan 16;8(1):13-20. doi: 10.1159/000452652. eCollection 2017 Jan-Apr.
A case of choroidal rupture caused by airbag-associated blunt eye trauma and complicated with massive subretinal hemorrhage and vitreous hemorrhage that was successfully treated with intravitreal injection of expansile gas and bevacizumab is presented. A 53-year-old man suffered from loss of vision in his right eye due to blunt eye trauma by a safety airbag after a traffic accident. On initial examination, the patient had no light perception in his right eye. Dilated ophthalmoscopy revealed massive subretinal hemorrhage with macular invasion and faint vitreous hemorrhage. We performed intravitreal injection of pure sulfur hexafluoride twice for displacement, after which visual acuity improved to 0.03. For persistent subretinal hemorrhage and suspicion of choroidal neovascularization (CNV), intravitreal bevacizumab (1.25 mg/0.05 mL) injection was administered. After 3 weeks, the visual acuity of his right eye recovered to 0.4. For early-stage choroidal rupture-induced subretinal hemorrhage and complications of suspected CNV, intravitreal injection of expandable gas and intraocular injection of antiangiogenesis drugs seem to be an effective treatment.
本文报告一例因安全气囊相关钝性眼外伤导致脉络膜破裂，并伴有大量视网膜下出血和玻璃体积血的病例，该病例通过玻璃体内注射膨胀性气体和贝伐单抗成功治愈。一名53岁男性在交通事故后因安全气囊钝性眼外伤导致右眼失明。初诊时，患者右眼无光感。散瞳眼底检查显示大量视网膜下出血累及黄斑区，并有少量玻璃体积血。我们两次玻璃体内注射纯六氟化硫以进行置换，之后视力提高到0.03。针对持续的视网膜下出血以及疑似脉络膜新生血管（CNV），给予玻璃体内注射贝伐单抗（1.25 mg/0.05 mL）。3周后，右眼视力恢复到0.4。对于早期脉络膜破裂引起的视网膜下出血以及疑似CNV并发症，玻璃体内注射膨胀性气体和眼内注射抗血管生成药物似乎是一种有效的治疗方法。
