Honzawa Koki, Horiguchi Hiroshi, Nakamura Masaki, Katagiri Satoshi, Gunji Hisato, Nakano Tadashi
Department of Ophthalmology, The Jikei University School of Medicine, Tokyo, JPN.
Cureus. 2024 Apr 19;16(4):e58579. doi: 10.7759/cureus.58579. eCollection 2024 Apr.
We report the clinical course of spontaneous expulsive suprachoroidal hemorrhage (SESCH) in a middle-aged man. A 50-year-old man with a history of uncontrolled hypertension and type II diabetes presented with massive preretinal hemorrhage in the posterior pole of the right eye (RE). Two weeks later, he presented with elevated intraocular pressure (IOP) and a nearly obliterated anterior chamber with coagulated blood behind the lens in the RE. We performed two rounds of surgery, including cataract surgery, vitrectomy, and sclerotomy. The choroidal detachment was clearly visible behind the posterior capsule during the cataract surgery. The surgical intervention successfully lowered the IOP and alleviated the pain. In rare cases of SESCH, maintaining awareness when patients show vulnerability in their choroidal vessels is of high importance.
我们报告了一名中年男性自发性脉络膜上腔出血（SESCH）的临床病程。一名有高血压控制不佳和II型糖尿病病史的50岁男性，右眼后极部出现大量视网膜前出血。两周后，他右眼眼压升高，前房几乎消失，晶状体后有凝血。我们进行了两轮手术，包括白内障手术、玻璃体切除术和巩膜切开术。白内障手术期间，后囊膜后可见明显的脉络膜脱离。手术干预成功降低了眼压并缓解了疼痛。在SESCH的罕见病例中，当患者脉络膜血管出现脆弱性时保持警惕非常重要。
