Spaeth G L, Baez K A
William & Anna Goldberg Glaucoma Service and Research Laboratories, Wills Eye Hospital/Jefferson Medical College, Philadelphia, PA 19107-5599.
Ger J Ophthalmol. 1994 May;3(3):159-63.
We reviewed the charts of 15 patients having had an operative suprachoroidal expulsive hemorrhage (SEH) at least 5 years prior to the time of review. In all cases the eyes were glaucomatous. All SEH occurred in close association with the surgery, with 14 cases occurring at the time of surgery and 1 case developing within 2 days of the procedure. Three eyes were markedly worse following the SEH, losing six or more lines of vision; in all cases this loss was due to retinal detachment. In a fourth eye in which a retinal detachment occurred postoperatively, fair acuity (20/100) was preserved. The other 11 eyes not having retinal detachment had no further complications, though 6 eyes eventually lost acuity during the next 5-15 years; this loss was due to progressive glaucoma and/or macular degenerative change and did not appear to be a function of damage related to the SEH itself. Two eyes subsequently had uncomplicated cataract extraction resulting in visual improvement. When an SEH neither causes immediate loss of choroid or retina nor is associated with postoperative retinal detachment, the SEH itself may not damage the long-term clinical course of the affected eye.
我们回顾了15例患者的病历，这些患者在回顾时至少在5年前发生了手术性脉络膜上腔暴发性出血（SEH）。所有病例的眼睛均患有青光眼。所有SEH均与手术密切相关，14例发生在手术时，1例在手术后2天内发生。3只眼睛在SEH后明显恶化，视力下降6行或更多；在所有病例中，这种视力丧失是由于视网膜脱离。在第四只术后发生视网膜脱离的眼睛中，保留了较好的视力（20/100）。其他11只没有视网膜脱离的眼睛没有进一步的并发症，尽管6只眼睛在接下来的5至15年内最终丧失了视力；这种视力丧失是由于进行性青光眼和/或黄斑变性改变，似乎与SEH本身造成的损害无关。两只眼睛随后进行了无并发症的白内障摘除术，视力得到改善。当SEH既不导致脉络膜或视网膜立即丧失，也不与术后视网膜脱离相关时，SEH本身可能不会损害受影响眼睛的长期临床病程。
