NR 2/2002
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Czêsto¶æ wystêpowania masywnego krwotoku
nadnaczyniówkowego w materiale Kliniki Okulistyki Akademii Medycznej w Bia³ymstoku w
latach 1990-2000
The evaluation of the incidence of 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 AM w Bia³ymstoku) |
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| Summary: |
Purpose: Massive suprachoroidal hemorrhage
is a well-known, possibly serious complication of many surgical procedures, including
cataract extraction, glaucoma-filtering procedures, penetrating keratoplasty, retinal
detachment surgery and pars plana vitrectomy.
The aim of our study is evaluation of the incidence of massive suprachoroidal hemorrhage
among patients operated in Department of Ophthalmology, Medical Academy in Bia³ystok from
1990 to 2000.
Material and methods: From 1990 to 2000, 6225 intraocular operations,
including 5541 cataract extractions, 195 glaucoma-filtering surgeries, 438 retinal
detachment surgeries and 51 multiprocedure surgeries were performed. The criteria for
diagnosis were the intraoperative signs of suprachoroidal hemorrhage (shallowing of the
anterior chamber, increasing of the intraocular pressure, iris prolapse, expulsion of the
lens and vitreous, retinal and choroidal elevation and loss of the red reflex) and
postoperative ultrasonic examination.
Results: 18 eyes were identified with massive suprachoroidal hemorrhage,
including 16 eyes during cataract extraction and 2 eyes during filtering procedures. The
incidence of suprachoroidal hemorrhage for all intraoperative surgeries was 0,29%. It
occured in 0,28% of cataract surgeries and 1,02% of glaucoma filtering proceduries. There
were no incidence of suprachoroidal hemorrhage during retinal detachment surgeries.
Conclusion: A massive suprachoroidal hemorrhage is a relatively rare
complication of intraocular operations. Most frequently it is associated with glaucoma
filtering surgery. |
| S³owa kluczowe: |
masywny krwotok nadnaczyniówkowy, operacje zaæmy, zabiegi
przetokowe w jaskrze, chirurgia odwarstwieñ siatkówki. |
| Key words: |
massive suprachoroidal hemorrhage, cataract extraction,
glaucoma-filtering procedures, retinal detachment surgery. |
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