NR 2/2002
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Czynniki ryzyka wyst±pienia masywnego
krwotoku nadnaczyniówkowego w materiale Kliniki Okulistyki Akademii Medycznej w Bia³ymstoku
w latach 1990-2000
The risk factors for massive suprachoroidal hemorrhage
in the material of Department of Ophthalmology, Medical Academy in Bia³ystok from 1990 to
2000
Iwona Obuchowska1, Zofia Mariak1, Andrzej
Stankiewicz2
1 Z Kliniki Okulistyki Akademii Medycznej w Bia³ymstoku
Kierownik: dr hab. n. med. Zofia Mariak
2 Z Kliniki Okulistyki Centralnego Szpitala Klinicznego Wojskowej Akademii
Medycznej w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz (do 2001 r. kierownik Kliniki
Okulistycznej Akademi Medycznej w Bia³ymstoku) |
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| Summary: |
Purpose: The aim of our study is evaluation
of the risk factors for development of expulsive hemorrhage among patients operated in
Department of Ophthalmology, Medical Academy in Bia³ystok from 1990 to 2000.
Material and methods: This was a retrospective study of 18 patients with
massive suprachoroidal hemorrhage occurring in association with cataract and glaucoma
surgery.
Results: The mean age of patients with expulsive hemorrhage was 69,5
years. There were 10 women (55,6%) and 8 men (44,4%). In the population of patients in
whom the suprachoroidal hemorrhage occurred hypertension was present in 5 (27,7%) and
diabetes in 3 (16,6%). 8 patients (44,4%) had reported atherosclerotic cardiovascular
disease. 7 patients (38,8%) had a history of glaucoma, 6 (33,3%) had high myopia. 1
patient had posterior synechiae after uveitis. All surgeries, except one, were performed
under local anesthesia. There were no associations between suprachoroidal hemorrhage
development and season.
Conclusion: The results of our study suggest, that the risk factors for
the development of massive intraoperative suprachoroidal hemorrhage are: high myopia,
glaucoma and systemic cardiovascular diseases. A knowledge of these risk factors can help
the physician in identifying patients, who are at a greater risk of having massive
suprachoroidal hemorrhage. |
| S³owa kluczowe: |
masywny krwotok nadnaczyniówkowy, nadci¶nienie, cukrzyca,
choroby sercowo-naczyniowe, jaskra, wysoka krótkowzroczno¶æ. |
| Key words: |
massive suprachoroidal hemorrhage, hypertension, diabetes,
cardiovascular diseases, glaucoma, high myopia. |
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