青光眼手术后迟发性脉络膜上腔出血的处理
Management of Delayed Suprachoroidal Hemorrhage after Glaucoma Surgery.
作者信息
Learned Daniel, Eliott Dean
机构信息
a Retina Service, Department of Ophthalmology , Massachusetts Eye and Ear, Harvard Medical School , Boston , MA , USA.
出版信息
Semin Ophthalmol. 2018;33(1):59-63. doi: 10.1080/08820538.2017.1353814. Epub 2017 Nov 16.
PURPOSE
To review the most current treatment recommendations and outcomes for delayed suprachoroidal hemorrhages.
METHODS
Article review of management and outcomes of suprachoroidal hemorrhages, with emphasis on delayed suprachoroidal hemorrhages in the setting of glaucoma surgery.
CONCLUSION
Time of drainage of suprachoroidal hemorrhages remains controversial. Earlier drainage should be considered with high intraocular pressure, expulsion of intraocular content, or retinal detachment. In clinically stable eyes with suprachoroidal hemorrhage, recommendations range from observation to immediate drainage. Clot lysis occurs at roughly 14 days.
目的
回顾目前关于迟发性脉络膜上腔出血的最新治疗建议及治疗结果。
方法
对脉络膜上腔出血的管理及治疗结果进行文献综述，重点关注青光眼手术中出现的迟发性脉络膜上腔出血。
结论
脉络膜上腔出血的引流时机仍存在争议。当眼压升高、眼内容物脱出或视网膜脱离时，应考虑尽早引流。对于临床上病情稳定的脉络膜上腔出血患者，建议范围从观察到立即引流。血凝块大约在14天溶解。
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