Kay M D, Epstein R J, Torczynski E
Department of Ophthalmology, Rush Medical College, Chicago, Illinois.
J Cataract Refract Surg. 1993 Jan;19(1):83-7. doi: 10.1016/s0886-3350(13)80288-x.
An 83-year-old hypertensive female had penetrating keratoplasty with insertion of a transsclerally fixated posterior chamber intraocular lens for pseudophakic corneal edema associated with a closed-loop, semiflexible anterior chamber intraocular lens. An acute intraoperative suprachoroidal hemorrhage developed five minutes after passage of the transscleral sutures. The eye became blind and painful and was enucleated three weeks later. Histopathologic examination showed an idiopathic suprachoroidal hemorrhage with no evidence of disruption of the ciliary body vasculature. Acute intraocular hemorrhage resulting from a needle pass through the highly vascularized ciliary body has been a greatly feared, though as yet unreported, complication of this procedure. Damage to the anterior uveal circulation was not implicated as a cause of the hemorrhage in this case.
一名83岁的高血压女性因与闭环、半柔性前房型人工晶状体相关的假晶状体性角膜水肿接受了穿透性角膜移植术，并植入了经巩膜固定的后房型人工晶状体。经巩膜缝线穿过五分钟后发生了急性术中脉络膜上腔出血。眼睛失明且疼痛，三周后被摘除。组织病理学检查显示为特发性脉络膜上腔出血，没有睫状体血管系统破裂的证据。尽管尚未有报道，但穿刺针穿过血管丰富的睫状体导致的急性眼内出血一直是该手术令人极为恐惧的并发症。在该病例中，前葡萄膜循环受损并未被认为是出血的原因。
