Becquet F, Caputo G, Mashhour B, Chauvaud D, Pouliquen Y
Ophthalmology Service, Hôtel-Dieu Hospital, Paris, France.
Eur J Ophthalmol. 1996 Oct-Dec;6(4):393-7. doi: 10.1177/112067219600600409.
Suprachoroidal hemorrhages, both expulsive and delayed non-expulsive, are among the most devastating complications of intraocular surgery. We reviewed the charts of 13 patients with a delayed non-expulsive suprachoroidal hemorrhage (DNSCH) after cataract extraction (3 patients), glaucoma filtering surgery (6 patients), penetrating keratoplasty (3 patients), or vitrectomy (1 patient). All had large hemorrhagic choroidal detachments with nine eyes presenting kissing choroidal detachment, five eyes with associated retinal detachment, and one eye with intravitreous hemorrhage. All patients were treated with systemic corticosteroids before surgery. Eleven eyes underwent anterior drainage sclerotomy, followed by SF6 gas injection in eight eyes, and pars plana vitrectomy with silicon oil tamponade in three eyes. Mean follow-up was 22 months. These procedures gave good anatomical results in eleven cases and good visual results in nine. The results suggest that not all DNSCH need to be drained surgically but that, when surgical drainage is indicated, the use of gas to maintain internal tamponade appears to be beneficial.
脉络膜上腔出血，包括驱逐性和延迟性非驱逐性出血，是眼内手术最具破坏性的并发症之一。我们回顾了13例白内障摘除术后（3例）、青光眼滤过手术（6例）、穿透性角膜移植术（3例）或玻璃体切割术（1例）后发生延迟性非驱逐性脉络膜上腔出血（DNSCH）患者的病历。所有患者均有大量出血性脉络膜脱离，9只眼出现脉络膜贴合性脱离，5只眼伴有视网膜脱离，1只眼伴有玻璃体积血。所有患者术前均接受全身皮质类固醇治疗。11只眼接受了前部引流巩膜切开术，其中8只眼随后注入了SF6气体，3只眼接受了玻璃体切除联合硅油填塞术。平均随访时间为22个月。这些手术在11例患者中取得了良好的解剖学效果，在9例患者中取得了良好的视觉效果。结果表明，并非所有DNSCH都需要手术引流，但当需要手术引流时，使用气体维持眼内填塞似乎是有益的。
