论文部分内容阅读
为探讨内眼手术中脉络膜上腔出血的临床特点及手术治疗与预后的关系，对１３例脉络膜上腔出血进行了回顾性分析。临床检查和Ｂ超显示：全部病例都有玻璃体出血，大部分病例有环周脉络膜上腔出血和前房出血而无视网膜脱离。４例做了后巩膜切开引流术，４例做了玻璃体视网膜手术，结果３例视力为０．０５～０．１２，１例为手动，其余均完全失明。表明内眼手术中脉络膜上腔出血预后差。玻璃体视网膜手术在部分病例可挽救眼球并获得有用的视力。关键在于认识危险因素并加强预防。
To investigate the clinical characteristics of suprachoroidal hemorrhage during endoscopic surgery and the relationship between surgical treatment and prognosis, 13 cases of choroidal hemorrhage were retrospectively analyzed. Clinical examination and B- showed: All cases have vitreous hemorrhage, most cases have circumferential choroidal hemorrhage and anterior chamber hemorrhage without retinal detachment. Four cases underwent posterior scleral incision and drainage, and four cases underwent vitreoretinal surgery. The visual acuity was 0.05 to 0.12 in 3 cases and manual in one case, while the rest were completely blind. Show intraocular surgery in the poor prognosis of suprachoroidal hemorrhage. Vitreoretinal surgery in some cases can save the eye and obtain useful vision. The key is to recognize the risk factors and strengthen prevention.