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无缝线巩膜固定人工晶状体植入术后脉络膜上腔出血——病例系列

Suprachoroidal hemorrhage following sutureless scleral-fixated intraocular lens - A case series.

作者信息

Sindal Manavi D, Ganne Pratyusha, Baskaran Prabu, Srivastav Khushboo

机构信息

Vitreoretina Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Puducherry, India.

Department of Ophthalmology, AIIMS, Mangalagiri, Andhra Pradesh, India.

出版信息

Saudi J Ophthalmol. 2021 Nov 17;37(1):60-62. doi: 10.4103/sjopt.sjopt_23_20. eCollection 2023 Jan-Mar.

Abstract

Suprachoroidal hemorrhage (SH) is a rare complication of scleral-fixated intraocular lens (SFIOL). In this series, we report three cases of sutureless SFIOL who developed SH postoperatively. Details of surgery, treatment, and outcome were analyzed. Two cases had limited SH which resolved with conservative treatment and had optimum visual recovery. One case developed massive SH needing surgical drainage, with final best-corrected visual acuity of 6/18 due to a persistent retinal fold. SH can be a potential complication while creating scleral grooves for haptic fixation. The use of a bent needle instead of a straight microvitreoretinal knife while creating scleral grooves might reduce the risk of SH in sutureless SFIOL surgeries.

摘要

脉络膜上腔出血(SH)是巩膜固定人工晶状体(SFIOL)的一种罕见并发症。在本系列中,我们报告了3例无缝线SFIOL术后发生SH的病例。对手术细节、治疗方法及结果进行了分析。2例SH范围有限,经保守治疗后消退,视力恢复良好。1例发生大量SH,需要手术引流,由于持续性视网膜皱褶,最终最佳矫正视力为6/18。在为襻固定制作巩膜沟时,SH可能是一种潜在并发症。在无缝线SFIOL手术中制作巩膜沟时,使用弯针而非直的显微玻璃体视网膜刀可能会降低SH的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/767b/10032286/4e8fc094e015/SJO-37-60-g001.jpg

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