Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan.
College of Medicine, Chang Gung University, Kwei-shan, Taoyuan, Taiwan.
Medicine (Baltimore). 2022 Feb 11;101(6):e28825. doi: 10.1097/MD.0000000000028825.
Spontaneous expulsive suprachoroidal hemorrhage (SESCH) is a rare condition. The correlation between SESCH and chronic glaucoma has been reported previously. However, few reports have indicated a correlation between infective keratitis and SESCHs.
Here, we report the case of an 82-year-old woman with a corneal ulcer who presented with left eye pain for 6 days.
We found that she has Pseudomonas keratitis and history of chronic glaucoma.
During admission, her left eye showed elevated intraocular pressure (IOP). Three days later, the eyeball began to bleed and became painful. She had high blood pressure on that day. Hours after complaints of eye pain, intraocular tissue exposure related to eyeball rupture, and SESCH. The patient underwent evisceration and insertion of a silicone ball for the socket reconstruction. Histopathological evaluation revealed acute inflammation of the cornea and the choroidal vessels.
In elderly patients with infective keratitis and a history of glaucoma and hypertension, it is important to control intraocular pressure and blood pressure and pay attention to the risk of spontaneous expulsive suprachoroidal hemorrhage.
自发性眼外肌下出血（SESCH）是一种罕见的情况。此前已有报道称 SESCH 与慢性青光眼之间存在相关性。然而，很少有报道表明感染性角膜炎与 SESCH 之间存在相关性。
我们在此报告一例 82 岁女性角膜溃疡患者，其左眼疼痛持续 6 天。
我们发现她患有绿脓杆菌角膜炎和慢性青光眼病史。
住院期间，她的左眼眼压升高。3 天后，眼球开始出血并出现疼痛。当天她还患有高血压。在抱怨眼痛数小时后，出现与眼球破裂相关的眼内组织暴露和 SESCH。患者接受了眼内容剜除术和硅酮球植入以重建眼窝。组织病理学评估显示角膜和脉络膜血管呈急性炎症。
对于患有感染性角膜炎、青光眼和高血压病史的老年患者，控制眼压和血压并注意自发性眼外肌下出血的风险非常重要。
