Bauer P, Henrich P B, Stürmer J
Cantonal Hospital Winterthur, Department of Ophthalmology, Winterthur, Switzerland, Chair: J. Stürmer.
Klin Monbl Augenheilkd. 2017 Apr;234(4):439-441. doi: 10.1055/s-0043-100635. Epub 2017 Apr 4.
Spontaneous anterior chamber bleeding is a rare event. We present three photodocumented cases treated in our clinic. Three patients sought medical assistance in our clinic because of bleeding inside the eye and/or visual impairment. None of them had a history of trauma or intraocular surgery. Two patients had oral anticoagulation, which was discontinued. These cases were treated with topical steroids. The third patient had no anticoagulation and no topical steroids were used in treatment. Topical intraocular pressure-lowering drugs were administered as needed. In all three cases, the anterior chamber bleeding stopped spontaneously. No intervention was required. Even after resolution of the bleeding, there were no signs of iris abnormalities. In cases of spontaneous anterior chamber bleeding without a history of trauma, oral anticoagulation, hypertension and iris abnormalities such as microaneurysm, pseudoexfoliation, iridocyclitis or neovascularisation have to be considered.
自发性前房出血是一种罕见的情况。我们展示了在我们诊所治疗的三例有照片记录的病例。三名患者因眼内出血和/或视力障碍在我们诊所寻求医疗帮助。他们均无外伤或眼内手术史。两名患者正在接受口服抗凝治疗，治疗时停用了抗凝药。这些病例采用局部类固醇治疗。第三名患者未接受抗凝治疗，治疗时未使用局部类固醇。根据需要给予局部降眼压药物。在所有三例病例中，前房出血均自行停止。无需进行干预。即使出血消退后，也没有虹膜异常的迹象。对于无外伤史、口服抗凝药史、高血压以及虹膜异常（如微动脉瘤、假性剥脱、虹膜睫状体炎或新生血管形成）的自发性前房出血病例，必须予以考虑。
