出血性脉络膜脱离少见,后果较浆液性者为重,甚至可能致盲。本文报告85岁高龄白内障手术所致的出血性脉络膜脱离一例。根据临床表现、检眼镜及B 型超声波等检查作出诊断。经巩膜切开放血性液后治愈。文中对本病发病学,病理、鉴别诊断和防治要点作了讨论。 Hemorrhagic choroidal detachment rare, the consequences of serous than those who may even lead to blindness. This article reports a case of hemorrhagic choroidal detachment due to 85 years old cataract surgery. According to clinical manifestations, ophthalmoscopy and B-mode ultrasound diagnosis. The sclera after hemorrhagic fluid was cured. The article on the pathogenesis, pathology, differential diagnosis and prevention and treatment were discussed.