NR 5-6/2002
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Masywny krwotok nadnaczyniówkowy jako powikłanie operacji
usunięcia zaćmy – opis przypadku
Massive suprachoroidal hemorrhage during
cataract surgery – case report
Iwona Obuchowska1, Zofia Mariak1, Andrzej
Stankiewicz2
1 Z Kliniki Okulistyki Akademii Medycznej w Białymstoku
Kierownik: dr hab. n. med. Zofia Mariak
2 Z Kliniki Okulistyki Wojskowego Instytutu Medycznego w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz
(do 2001 r. kierownik Kliniki Okulistyki AM w Białymstoku) |
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| Summary: |
A massive suprachoroidal hemorrhage is defined as a hemorrhage in the suprachoroidal space of sufficient volume either to cause extrusion of intraocular contents outside of the eye or to force the inner retinal surfaces into apposition ('kissing'). This is a very rare but one of the most serious complications of the intraocular surgeries.
The authors describe a case of 84-year-old woman, who developed a massive suprachoroidal hemorrhage during cataract surgery. In our case, the main reason of expulsive hemorrhage development was a Valsalva effect, caused by unexpected cough during surgery. In a Valsalva maneuver, a sudden increase in venous pressure may lead to vessel-wall rupture, by an apparently excessive pressure gradient across the vessel wall. We present clinical and echographical study of this patient. |
| Słowa kluczowe: |
masywny krwotok nadnaczyniówkowy, operacja zaćmy. |
| Key words: |
massive suprachoroidal hemorrhage, cataract surgery |
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