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本文报告一例女性26岁患者左眼顿挫伤后反复性前房出血,伴有Schlemm管破裂。伤后四天就诊,主诉左眼疼痛视力模糊,矫正视力在20/30,上睑轻度淤血斑、下垂、结膜下出血、角膜稍混,前房有微量出血,瞳孔4mm大小,压平眼压计右14mmHg左18mmHg。患者经双眼包扎休息,两天后前房复发性出血,视力降至20/60。再次包扎休息,五天内出血消失,仅留有一丝凝血,视力保持在20/60。又五天后左视力仍为20/60,结膜明显充血,前房又出血,并于前房11点极周边部见有线条样血液间歇性下流,三面镜下见房角Schlemm管有撕裂并向后延及有色素沉着的滤帘,而未达虹膜。向前达Schwalbe线。自此撕裂有间歇性活动性出血,出血持续两小时。用Goldmann三面镜进行氩离
This article reports a recurrent anterior chamber haemorrhage with a Schlemm’s tube rupture in a 26-year-old woman with a left eye contusion. Pain four days after treatment, complained of left eye pain, blurred vision, corrected visual acuity in 20/30, upper eyelid mild congestion spots, drooping, subconjunctival hemorrhage, a little mixed cornea, anterior chamber bleeding, pupil 4mm size, flattened eyes Pressure gauge right 14mmHg left 18mmHg. Resting patients by binocular banding, two days later, anterior chamber recurrence of bleeding, visual acuity reduced to 20/60. Bandaged again to rest, bleeding disappeared within five days, leaving only a trace of coagulation, visual acuity remained at 20/60. The left visual acuity was still 20/60 after another five days. The conjunctiva was obviously hyperemic and the anterior chamber had hemorrhage. In the peripheral part of the anterior chamber at 11 o’clock, Subsequent extension of the pigmented curtain, but less than the iris. Go up to the Schwalbe line. Tearing was followed by intermittent active bleeding, bleeding continued for two hours. Argon ionization using a Goldmann three-mirror