Ndiaye M R, Ba E A, Ndoye N, Ceccon J F, Wade A
Clinique Ophtalmologique de l'Hôpital A. Le Dantec, CHU Le Dantec Dakar, Sénégal.
Dakar Med. 1993;38(1):39-41.
Two cases of expulsive haemorrhage consecutive to an operation of intumescent cataract responsible of major ocular overpressure (60 and 70 mmHg) are reported by the authors. No other risk factor has been found in our patients, one of 45 years old and the other 72 years old. First nor the operative wound suture neither the posterior sclerotomy were stitched, because of the inability to discover the site of choroidal haematoma with quat amount of blood in the operative field. The second reason was the use of an inadequate material of suture (vicryl 9/0). Finally both cases presented were eyes without any light perception. The final phase results in phtysis phenomena.
作者报告了两例因膨胀期白内障手术导致严重眼压升高（60和70 mmHg）而发生的驱逐性出血病例。在我们的患者中未发现其他危险因素，其中一例45岁，另一例72岁。首先，由于无法在手术视野中发现有大量血液的脉络膜血肿部位，手术伤口缝合和后巩膜切开术均未缝合。第二个原因是使用了不合适的缝合材料（9/0可吸收缝合线）。最后，所呈现的两例病例患眼均无光感。最终阶段导致了眼球萎缩现象。
