Dudley D F, Leen M M, Kinyoun J L, Mills R P
Department of Opthalmology, University of Washington, Seattle, WA 98195, USA.
Ophthalmic Surg Lasers. 1996 Feb;27(2):147-50.
Two cases of retinal hemorrhages in glaucomatous eyes associated with ocular decompression following glaucoma filtration surgery are presented. Both patients were young, healthy men with markedly elevated preoperative intraocular pressures (IOPs). The hemorrhages were blot shaped and scattered throughout the macula (including the fovea) in each eye that underwent surgery. One eye had hemorrhages with distinct white centers. Each eye that underwent surgery experienced a permanent decrease in visual acuity after resolution of the hemorrhages. A gradual decrease of IOP preoperatively and intraoperatively is recommended in order to avoid this complication.
本文报告了两例青光眼滤过性手术后发生眼部减压相关的青光眼性视网膜出血病例。两名患者均为年轻健康男性，术前眼压（IOP）显著升高。手术眼的出血呈斑点状，散在分布于整个黄斑区（包括中央凹）。一只眼睛的出血有明显的白色中心。每只接受手术的眼睛在出血消退后视力均出现永久性下降。建议术前和术中逐渐降低眼压，以避免这种并发症。
