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人工晶状体植入术后迟发性微小前房积血:8例患者的回顾性研究

Delayed microhyphaema with intraocular lenses: a retrospective study of eight patients.

作者信息

Butler L, Roper-Hall M J

机构信息

Birmingham and Midland Eye Hospital.

出版信息

Br J Ophthalmol. 1989 Feb;73(2):106-10. doi: 10.1136/bjo.73.2.106.

DOI:10.1136/bjo.73.2.106
PMID:2930755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1041664/
Abstract

Eight patients with delayed microhyphaema were identified from a computer data base of 1209 patients who had had cataract extraction with Binkhorst 4-loop intraocular lens insertion. Five cases were recurrent. The cases were examined to try and identify an underlying cause. No single cause was identified, but trauma, hypertension, and oral anticoagulants were found to be associated. Some episodes were asymptomatic. The wide variety of surgical technique and style of lens with which this complication has been reported implies multiple causative factors. The source of the bleeding and its management are discussed.

摘要

从一个包含1209例接受宾克霍斯特4袢人工晶状体植入白内障摘除术患者的计算机数据库中,识别出8例迟发性微前房积血患者。其中5例为复发性。对这些病例进行检查以试图确定潜在病因。未确定单一病因,但发现外伤、高血压和口服抗凝剂与之相关。有些发作是无症状的。报告此并发症所涉及的手术技术和晶状体类型繁多,这意味着存在多种致病因素。本文讨论了出血的来源及其处理方法。

相似文献

1
Delayed microhyphaema with intraocular lenses: a retrospective study of eight patients.人工晶状体植入术后迟发性微小前房积血:8例患者的回顾性研究
Br J Ophthalmol. 1989 Feb;73(2):106-10. doi: 10.1136/bjo.73.2.106.
2
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Recurrent hyphema associated with IOL loop displacement treated with argon laser photocoagulation.氩激光光凝治疗与人工晶状体襻移位相关的复发性前房积血。
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[Traumatic hyphema caused by eye injuries].[眼外伤所致外伤性前房积血]
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Intraocular lenses: 500 consecutive intracapsular cataract extractions with lens implantation compared with 500 intracapsular extractions--observations and comments.人工晶状体:500例连续囊内白内障摘除联合晶状体植入术与500例囊内摘除术的比较——观察与评论
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引用本文的文献

1
Spontaneous hyphaema as a result of systemic anticoagulation in previously abnormal eyes.既往眼部异常的患者因全身抗凝治疗导致的自发性前房积血。
Postgrad Med J. 1991 Nov;67(793):1008-10. doi: 10.1136/pgmj.67.793.1008.

本文引用的文献

1
Occult iris erosion. A treatable cause of recurrent hyphema in iris-supported intraocular lenses.隐匿性虹膜糜烂。虹膜支撑型人工晶状体反复前房积血的一个可治疗原因。
Ophthalmology. 1982 Feb;89(2):113-20. doi: 10.1016/s0161-6420(82)34833-2.
2
Intermittent visual "white out". A new intraocular lens complication.间歇性视觉“白茫茫”。一种新的人工晶状体并发症。
Ophthalmology. 1982 Feb;89(2):109-12.
3
Ghost cell glaucoma following lens implantation.
J Am Intraocul Implant Soc. 1983 Fall;9(4):429-33. doi: 10.1016/s0146-2776(83)80084-6.
4
Spontaneous hyphema resulting from warfarin.
Ann Ophthalmol. 1983 Sep;15(9):858-9.
5
Intraocular hemorrhage from vascularization of the cataract incision.白内障切口血管化导致的眼内出血。
Ophthalmology. 1980 Jan;87(1):19-23. doi: 10.1016/s0161-6420(80)35285-8.
6
Iris transillumination defect and microhyphema syndrome.虹膜透照缺损与微前房积血综合征
J Am Intraocul Implant Soc. 1984 Fall;10(4):425-8. doi: 10.1016/s0146-2776(84)80040-3.
7
Hyphema due to wound vascularization after cataract extraction.
Arch Ophthalmol. 1973 Feb;89(2):87-90. doi: 10.1001/archopht.1973.01000040089001.
8
Drug interactions with coumarin anticoagulants. 2.香豆素类抗凝剂的药物相互作用。2.
N Engl J Med. 1971 Sep 2;285(10):547-58. doi: 10.1056/NEJM197109022851005.
9
Coumadin related spontaneous hyphemas in patients with iris fixated pseudophakos.华法林相关的虹膜固定型人工晶状体患者自发性前房积血
Ophthalmic Surg. 1985 Mar;16(3):172-3.
10
Cytopathology of intraocular lens implantation.人工晶状体植入术的细胞病理学
Ophthalmology. 1985 Jan;92(1):135-42. doi: 10.1016/s0161-6420(85)34078-2.