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穿透性角膜移植术后迟发性脉络膜上腔出血

Delayed suprachoroidal hemorrhage after penetrating keratoplasty.

作者信息

Duncker G I, Rochels R

机构信息

Department of Ophthalmology, University of Kiel, Germany.

出版信息

Int Ophthalmol. 1995;19(3):173-6. doi: 10.1007/BF00133734.

DOI:10.1007/BF00133734
PMID:8926129
Abstract

We report on an aphakic 30 year-old patient who underwent penetrating keratoplasty on his only functioning eye. On the first day after the operation he developed a total choroidal detachment due to suprachoroidal bleeding. The patient had no sense of orientation. Vision decreased to faulty light perception. One week postoperatively a posterior sclerotomy was performed in order to drain the suprachoroidal blood. Via a paracentesis the globe was pressurized with hyaluronic acid. The following day the suprachoroidal blood had almost disappeared. The retina had become reattached. During a follow-up period of 2 years the visual acuity remained 20/30.

摘要

我们报告了一名30岁的无晶状体患者,其仅有的一只功能眼接受了穿透性角膜移植术。术后第一天,他因脉络膜上腔出血出现了完全性脉络膜脱离。患者定向力丧失。视力降至仅存光感。术后一周进行了后巩膜切开术以引流脉络膜上腔血液。通过前房穿刺向眼球内注入透明质酸以增加眼压。第二天,脉络膜上腔血液几乎消失。视网膜已重新附着。在2年的随访期内,视力保持在20/30。

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