Kelman J P, Dobbie J G, Constantaras A A
Arch Ophthalmol. 1977 Mar;95(3):484-5. doi: 10.1001/archopht.1977.04450030126019.
A patient with recurrent hyphema following blunt trauma to the left eye was found to have an angle recession with a laceration of the trabecular meshwork and Schlemm canal. Active bleeding from the Schlemm canal proved to be the cause of the recurrent hyphema. Repeated trials of bed rest and bilateral eye patching provided only temporary control of the bleeding. Cessation of the active bleeding and subsequent resolution of the hyphema was achieved following argon laser photocoagulation to the traumatized portion of the Schlemm canal. While hyphema is a common manifestation of blunt ocular trauma, visible rupture of the Schlemm canal is most unusual. This paper describes the gonioscopic findings of a rupture of the Schlemm canal in a patient who had a traumatic hyphema and recurrent bleeding.
一名左眼钝挫伤后反复发生前房积血的患者，被发现存在房角后退，伴有小梁网和施莱姆管撕裂。施莱姆管的活动性出血被证明是反复发生前房积血的原因。多次尝试卧床休息和双眼包扎仅能暂时控制出血。对施莱姆管受损部位进行氩激光光凝后，活动性出血停止，随后前房积血消退。虽然前房积血是钝性眼外伤的常见表现，但施莱姆管可见破裂极为罕见。本文描述了一名患有外伤性前房积血和反复出血患者施莱姆管破裂的前房角镜检查结果。
