小梁切除术后因脉络膜上腔出血延迟导致血凝块悬于前房。

A blood clot hanging in the anterior chamber due to delayed suprachoroidal hemorrhage after trabeculectomy.

作者信息

Lin Hong-Zin, Huang Chin-Te, Lee Yuan-Chieh

机构信息

Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.

Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien, Taiwan.

出版信息

Tzu Chi Med J. 2016 Apr-Jun;28(2):73-75. doi: 10.1016/j.tcmj.2015.06.003. Epub 2015 Aug 3.

DOI:10.1016/j.tcmj.2015.06.003

PMID:28757726

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5442890/

Abstract

Delayed suprachoroidal hemorrhage (DSCH) is a rare but devastating complication of trabeculectomy, usually resulting in a poor visual prognosis. The typical presentation of DSCH includes acute visual loss, high intraocular pressure, a shallow anterior chamber, and choroidal elevation. We report a patient with hypertension who had DSCH following trabeculectomy, with an unusual presenting picture of a large blood clot hanging in a deep anterior chamber. Anterior chamber irrigation and choroidal taps were performed immediately. The intraocular pressure was soon controlled, and the visual acuity returned to 20/25 in 6 months.

摘要

迟发性脉络膜上腔出血（DSCH）是小梁切除术一种罕见但严重的并发症，通常导致不良的视力预后。DSCH的典型表现包括急性视力丧失、高眼压、前房变浅和脉络膜隆起。我们报告一名患有高血压的患者，其在小梁切除术后发生DSCH，呈现出一种不寻常的表现，即一个大血块悬于深前房内。立即进行了前房冲洗和脉络膜穿刺。眼压很快得到控制，6个月后视力恢复到20/25。