迟发性脉络膜上腔出血的手术治疗

Surgical treatment of latent surprachoroidal hemorrhage

目的:探讨迟发性脉络膜上腔出血的发病机制、诱因、临床表现及手术治疗方法。方法:对2008-02/2010-09来我院就诊的4例迟发性脉络膜上腔出血患者,进行玻璃体切割联合巩膜赤道部放射性切开放血疗法手术治疗并观察疗效。结果:患者4例术后脉络膜上腔积血均完全被清除,脉络膜视网膜解剖复位,视功能取得不同程度提高。结论:迟发性脉络膜上腔出血是一种严重的致盲性眼病,但如果能正确诊断,手术时机掌握恰当,采用合适的手术方法,则能使病情得以缓解或治愈,挽救眼球甚至视功能。玻璃体切割联合巩膜赤道部放射性切开放血疗法是治疗本病的有效方法。

AIM：To investigate the pathogenesis,risk factors,clinical presentation and curative effect of latent suprachoroidal hemorrhage.METHODS：Vitrectomy combined with radial equatorial sclerotomy was performed in 4 patients with latent suprachoroidal hemorrhage from February 2008 to September 2010 and the therapeutic effect was observed.RESULTS：Suprachoroidal hemorrhage disappeared completely in all cases.Choroidal reattachment was acquired and visual function was improved in various degrees.CONCLUSION：Latent suprachoroidal hemorrhage is a seriously blinding oculopathy.Correct diagnosis,opportune operative timing and appropriate surgical methods are helpful to relieve or even cure this disease as well as to save the eye and visual function.Vitrectomy combined with radial equatorial sclerotomy is an effective treatment for latent suprachoroidal hemorrhage.