Cesk Slov Oftalmol. 2023 Spring;79(4):202-204. doi: 10.31348/2023/26.
We present two rare cases of non-surgical-related massive spontaneous suprachoroidal hemorrhage.
The first case was a 73-year-old male with uncontrolled hypertension, who presented with left vision loss, only able to perceive light, with very high intraocular pressure (IOP) and blood pressure (BP), 68 mmHg and 196/106 mmHg, respectively. Ocular examination showed a limited fundus view, and the B-scan revealed near kissing suprachoroidal hemorrhage. The second case was a 59-year-old male, post valve replacement surgery on life-long warfarin, who presented with hand movement vision and IOP of 47 mmHg. The B-scan showed massive submacular and suprachoroidal hemorrhage with therapeutic range International Normalized Ratio (INR).
Suprachoroidal hemorrhage is one of the rare complications that can be seen in any ocular surgery. However, spontaneous suprachoroidal hemorrhage is a rarer disease. Most of the reported cases are associated with underlying medical conditions. Thus prevention is crucial. This involves ophthalmologists, physicians and general practitioners in managing this group of patients with associated risk factors, for better recognition of this devastating ocular complication in which early detection may reduce ocular morbidity.
我们报告两例与非手术相关的巨大自发性脉络膜上腔出血的罕见病例。
第一例为 73 岁男性，患有未控制的高血压，左眼视力丧失，仅能感知光，眼压（IOP）和血压（BP）非常高，分别为 68mmHg 和 196/106mmHg。眼部检查显示眼底视野受限，B 超显示近吻合性脉络膜上腔出血。第二例为 59 岁男性，长期服用华法林进行瓣膜置换术后，手动视力，IOP 为 47mmHg。B 超显示大量黄斑下和脉络膜上腔出血，国际标准化比值（INR）在治疗范围内。
脉络膜上腔出血是任何眼科手术中都可能出现的罕见并发症之一。然而，自发性脉络膜上腔出血是一种较罕见的疾病。大多数报道的病例与潜在的医疗条件有关。因此，预防至关重要。这涉及眼科医生、内科医生和全科医生管理这组具有相关风险因素的患者，以便更好地识别这种破坏性的眼部并发症，早期发现可能会降低眼部发病率。
