Teichmann D K, Gronemeyer U
Klin Monbl Augenheilkd. 1977 May;170(5):731-5.
Following a short discussion of the predisposing and precipitating factors of an expulsive hemorrhage prophylactic measures are suggested. The authors review critically the recommendation of a posterior sclerotomy as a form of treatment, as proposed in the literature. They prefer an immediate wound closure by means of the index finger as suggested by Kasner. In a simple model using eye bank eyes as well as rabbits eyes they were able to show that at intraocular tensions of 100 mm Hg digital wound closure could be successively replaced by single sutures resulting in a watertight suture without loss of eye contents. For reasons of safety, digital wound closure is recommended as an immediate measure even in merely suspicious cases.
在简短讨论了驱逐性出血的诱发因素和促发因素之后，提出了预防措施。作者批判性地回顾了文献中提出的后巩膜切开术作为一种治疗形式的建议。他们更倾向于按照卡斯纳所建议的，用食指立即闭合伤口。在一个使用眼库眼球以及兔眼的简单模型中，他们能够证明，在眼内压为100毫米汞柱时，手指闭合伤口可以依次被单根缝线替代，从而实现水密缝合且不损失眼内容物。出于安全考虑，即使在仅仅可疑的病例中，也建议将手指闭合伤口作为一项紧急措施。
