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连续输注气泵治疗术后脉络膜上腔出血

Management of postoperative suprachoroidal hemorrhage with continuous-infusion air pump.

作者信息

Abrams G W, Thomas M A, Williams G A, Burton T C

出版信息

Arch Ophthalmol. 1986 Oct;104(10):1455-8. doi: 10.1001/archopht.1986.01050220049024.

DOI:10.1001/archopht.1986.01050220049024
PMID:3490249
Abstract

Seven patients suffered delayed nonexpulsive suprachoroidal hemorrhages following filtration procedures. Six of seven eyes were aphakic, while the seventh had a subluxated lens associated with aniridia. In six of the seven cases, the hemorrhagic choroidal detachments completely filled the posterior segment, and visual acuity was reduced to light perception only. Surgical drainage of the hemorrhages was accomplished through one or two sclerotomies with simultaneous air insufflation of the eye through a limbal needle attached to a continuous-infusion air pump. With this technique, visual acuity was restored to a level equal to or better than the prefiltration acuity in five of seven patients. One patient suffered a slight decline in acuity from 20/60 to 20/100, and another patient's visual acuity declined from finger counting at 5 cm to hand motions.

摘要

7例患者在滤过手术后发生迟发性非搏动性脉络膜上腔出血。7只眼中有6只为无晶状体眼,另1只眼晶状体半脱位合并无虹膜。7例中有6例出血性脉络膜脱离完全充满后节,视力仅降至光感。通过1或2个巩膜切口进行出血的手术引流,同时通过连接持续输注气泵的角膜缘针向眼内注入空气。采用该技术,7例患者中有5例视力恢复到等于或优于滤过术前的水平。1例患者视力从20/60轻微下降至20/100,另1例患者视力从5cm处数指下降至手动。

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