Scleral incision surgery cure for recurrent choroidal hemorrhage 1 cases.docVIP

 PAGE \* MERGEFORMAT 12 Scleral incision surgery cure for recurrent choroidal hemorrhage 1 cases Keywords: drainage A case report Male, 70 years old, collapsing the left eye due to injuries caused by splitting wood at the local hospital to 1mo in traumatic cataract in the left eye 2005-01-20 OK PHACO IOL, postoperative patients with Tugan 2d left eye blurred vision, eye pain swelling, The eye-B ultrasonic examination in order to suprachoroidal hemorrhage into the hospital. Systemic physical examination no abnormalities, the left eye vision for the index / 30cm, mixed mild hyperemia, superior temporal scleral tunnel incision autistic good, mild corneal edema, anterior chamber depth of normal, intraocular lens position of positive, non-bloody moderate vitreous opacities, fundus blurred optic disc can be seen around 360 ° choroidal detachment, particularly at night or in the nasal and temporal side, close match, IOP 36.5mmHg, eye-B-ultrasound Figure 1. Corticosteroids given after admission, to stop bleeding, reduce intraocular pressure and other symptomatic treatment in the left eye scleral incision and drainage lines 2005-02-02 eyes filling BSS surgery, intraoperative findings, in accordance with an indirect ophthalmoscope, at the highest point on the temporal choroidal detachment, under quadrant after limbal scleral incision 15mm for full-thickness 2mm, complemented by the surrounding pressure massage, see a large number of brown blood overflow from the drainage of intraocular pressure reduction produced by injecting through the needle several times on the 4th through the clear corneal limbus into the anterior chamber within the BSS to restore, in the fundus examination, based on repeatedly through the same scleral incision drainage until the choroidal detachment all but disappeared. In addition to a few chorioretinopathy after retinal fold things, out of all the reset, and normal intraocular pressure. To alleviate pain in patients with cilia