Faculty of Medicine Department of Ophthalmology Isparta, Isparta Suleyman Demirel University, Isparta, Turkey.
Department of Ophthalmology, Gulhane Education and Research Hospital, Ankara, Turkey.
Semin Ophthalmol. 2021 Nov 17;36(8):614-617. doi: 10.1080/08820538.2021.1890790. Epub 2021 Feb 22.
: To describe a novel surgical technique for external drainage of choroidal detachment/suprachoroidal hemorrhage with a butterfly needle.: This is a retrospective case series on six eyes with serous and/or hemorrhagic choroidal detachments due to previous intraocular surgery or perforating ocular trauma that underwent active external suprachoroidal fluid drainage procedure with butterfly needle. The primary outcome measures were perioperative controlled fluid discharge and presence of choroidal detachment at 1 week, 1 month, and 6 months postoperatively. Secondary outcome measures were postoperative visual acuity and intraocular pressure.: During drainage, controlled hemorrhage discharge was observed. Drainage resolved hemorrhagic choroidal detachments at 1 week postoperatively. Intraocular pressure significantly increased, and visual acuity improved in all eyes. No complications were noted.: Management of hemorrhagic choroidal detachment is challenging, and external drainage can be complicated. Active aspiration of hemorrhagic material with a butterfly needle may help early resolution.
描述一种使用蝴蝶针进行脉络膜脱离/脉络膜下出血外引流的新型手术技术。
这是一项回顾性病例系列研究，纳入了 6 只眼，这些眼由于先前的眼内手术或穿通性眼外伤而出现浆液性和/或出血性脉络膜脱离，均接受了使用蝴蝶针进行主动的外脉络膜液引流手术。主要观察指标为围手术期控制性液体排出量以及术后 1 周、1 个月和 6 个月时脉络膜脱离的存在情况。次要观察指标为术后视力和眼压。
在引流过程中，观察到控制性出血排出。引流在术后 1 周时解决了出血性脉络膜脱离。所有眼的眼压均显著升高，视力均提高。未观察到并发症。
出血性脉络膜脱离的治疗具有挑战性，外引流可能会很复杂。使用蝴蝶针积极抽吸出血性物质可能有助于早期解决问题。
