Crowell D, Jakobiec F A
Ophthalmology. 1981 Jul;88(7):693-5. doi: 10.1016/s0161-6420(81)34964-1.
An elderly, Spanish-speaking patient, who was a poor historian, presented with a hemorrhagic corneal condition that was mistakenly diagnosed as a spontaneous expulsive choroidal hemorrhage leading to enucleation of the globe. The enucleation specimen revealed pathologically a diffuse hemorrhagic pannus without corneal perforation in an eye with end-stage chronic angle closure glaucoma. The absence of clear-cut antecedent trauma, corneal ulceration, and pain at the time of presentation should have militated against the mistaken diagnosis. Diagnostic tests to establish more securely the diagnosis of expulsive hemorrhage are summarized.
一位年迈的、讲西班牙语的患者，因其病史不清，出现了角膜出血性病症，被误诊为自发性脉络膜出血性驱逐导致眼球摘除。摘除的眼球标本经病理检查显示，在一只患有终末期慢性闭角型青光眼的眼中，存在弥漫性出血性血管翳，且无角膜穿孔。就诊时无前明确的外伤、角膜溃疡及疼痛症状，本应可避免误诊。文中总结了能更确切诊断驱逐性出血的诊断性检查。
