脉络膜暴发性出血又称脉络膜驱逐性出血或脉络膜上腔出血,是眼外伤或内眼手术中罕见又紧急,且破坏性极严重的合并症,若术者经验不足,往往延误诊治。由于出血来势凶猛,眼内组织常随之脱出,伤口无法关闭,而不得不摘除眼球。至今对其治疗仍无确实可靠的方法。据文献报告用后巩膜切开术可收到一些效果。笔者曾遇一例白内障术中暴发性脉络膜出血,立即采取后巩膜切开及部份色素膜切除,收到一定效果。 Choroidal fulminant hemorrhage, also known as choroidal disabling bleeding or choroidal hemorrhage, is a rare and urgent ocular trauma or endocrine surgery, and devastating complications, if the surgeon’s lack of experience, often delayed diagnosis and treatment. Due to fierce bleeding, intraocular tissue often accompanied by prolapse, the wound can not be closed, and had removed the eye. So far there is no reliable method for its treatment. According to the literature reported after sclerectomy can receive some results. I have encountered a case of cataract surgery in episodic choroidal hemorrhage, immediately after scleral incision and partial pigmentation, received a certain effect.