STUDY OF ACUTE INTRAOPERATIVE SUPRACHOROIDAL HEMORRHAGE

被引：21

作者：

ARNOLD, PN

机构：

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1992年 / 18卷 / 05期

关键词：

ACUTE INTRAOPERATIVE SUPRACHOROIDAL HEMORRHAGE; ANTICOAGULATION; BRUNESCENT NUCLEAR SCLEROSIS; CHOROIDAL VASCULATURE; GLAUCOMA; PHACOEMULSIFICATION; POSITIVE PRESSURE;

D O I：

10.1016/S0886-3350(13)80104-6

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Acute intraoperative suprachoroidal hemorrhage or effusion (AISH) was studied in a prospective manner over the past three years. In a general cataract surgery population of 2,523 patient eyes, 15 (0.6%) experienced an AISH. Results of a specific surgical management technique are presented. Surgical control of the AISH consisted of immediate closure of the incision and application of pressure directly to the eye. This tamponades the effusion or hemorrhage, which allows coagulation and completion of the case. There was no attempt to drain the suprachoroidal space. All cases were completed the same day, usually within an hour. The postoperative visual acuities were quite good-20/40 or better in 93% of cases. Factors contributing to AISH were 4+ brunescent nuclear sclerosis, the large incision used with nucleus expression extracapsular cataract extraction, and the combination of anticoagulation and systemic vascular disease.

引用

页码：489 / 494

页数：6

共 9 条

[1]

Davison JA, Acute intraoperative suprachoroidal hemorrhage in extracapsular cataract surgery, Journal of Cataract & Refractive Surgery, 12, pp. 606-622, (1986)

[2]

Arnold PN, A prospective study of a single injection peribulbar technique, J Cataract Refract Surg, 18, pp. 157-161, (1991)

[3]

Arnold PN, One-handed method of posterior chamber phacoemulsification, J Cataract Refract Surg, 16, pp. 646-648, (1990)

[4]

Bryant WR, Secondary intraocular lens implantation in eyes that experienced suprachoroidal hemorrhage during primary cataract surgery, J Cataract Refract Surg, 15, pp. 629-634, (1989)

[5]

Ruderman JM, Harbin TS, Campbell DG, Postoperative suprachoroidal hemorrhage following filtration procedures, Arch Ophthalmol, 104, pp. 201-205, (1986)

[6]

Bukelman A, Hoffman P, Oliver M, Limited choroidal hemorrhage associated with extracapsular cataract extraction, Arch Ophthalmol, 105, pp. 338-341, (1987)

[7]

Speaker MG, Guerriero PN, Met JA, Et al., A casecontrol study of risk factors for intraoperative suprachoroidal expulsive hemorrhage, Ophthalmology, 98, pp. 202-210, (1991)

[8]

Thompson HS, Putting a number on the relative afferent papillary defect, Topics in Neuro-Ophthalmology, pp. 157-158, (1979)

[9]

Hayreh SS, Weingeist TA, Experimental occlusion of the central artery of the retina. IV: Retinal tolerance time to acute ischaemia, Br J Ophthalmol, 64, pp. 818-825, (1980)

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