Lin Hsin-Ying, Peng Kai-Ling
Department of Ophthalmology, Chi Mei Medical Center, Tainan, Taiwan,
Int Med Case Rep J. 2018 Sep 25;11:239-242. doi: 10.2147/IMCRJ.S177049. eCollection 2018.
Corneal bloodstaining, which is brown or dark yellow in color, is induced by hemoglobin deposition, and its breakdown products extend into the corneal stroma. In this article, we report a rare case of corneal bloodstaining induced by total hyphema after rebleeding for traumatic hyphema. The patient underwent irrigation of the anterior chamber (AC) and cataract surgery of the right eye after trauma. After oral and topical treatment the imprint of corneal bloodstaining faded, and it nearly disappeared after the procedures. Corneal bloodstaining is undoubtedly a vision-threatening complication of total hyphema after ocular trauma, surgical intervention, and even rebleeding. Removal of the total hyphema as soon as possible decreases the severity of corneal bloodstaining, shortens the course of spontaneous healing, and thus improves vision.
角膜血染呈棕色或深黄色，是由血红蛋白沉积引起的，其分解产物会延伸至角膜基质。在本文中，我们报告了1例因外伤性前房积血再出血导致全前房积血而引起角膜血染的罕见病例。该患者外伤后接受了右眼前房冲洗和白内障手术。经口服及局部治疗后，角膜血染印记变淡，术后几乎消失。角膜血染无疑是眼外伤、手术干预甚至再出血后全前房积血的一种视力威胁性并发症。尽早清除全前房积血可减轻角膜血染的严重程度，缩短自然愈合过程，从而改善视力。
