Офтальмохирургия. 2014; : 72-75
РЕДКИЙ СЛУЧАЙ СПОНТАННОГО СУПРАХОРИОИДАЛЬНОГО КРОВОИЗЛИЯНИЯ У ПАЦИЕНТКИ С АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИЕЙ И ВЛАЖНОЙ ФОРМОЙ ВОЗРАСТНОЙ МАКУЛОДИСТРОФИИ
https://doi.org/undefinedАннотация
Цель. Описать клинический случай спонтанного супрахориоидального кровоизлияния (СК) у пациентки с артериальной гипертензией и влажной формой возрастной макулодистрофии.
Материал и методы. Описаны клинические проявления, течение заболевания и исход впервые зарегистрированного в России редкого случая спонтанно возникшего СК у пациентки 80 лет с влажной формой ВМД и кризовым течением артериальной гипертензии.
Результаты. В результате комплексного лечения (местного и системного) супрахориоидальное и витреальное кровоизлияния полностью рассосались и процесс был стабилизирован в течение 10 мес.
Заключение. У пациентов пожилого возраста активная хориоидальная неоваскуляризация (ХНВ), ассоцированная с неконтролируемой гипертонической болезнью, может быть причиной развития массивного СК и требует более агрессивного мониторинга ВМД.
Список литературы
1. Chak M., Williamson T. Spontaneous suprachoroidal haemorrhage associated with high myopia and aspirin // Eye. – 2003. – Vol. 17. – P. 525-527.
2. Chandra A., Barsam A., Hugkulstone C. A spontaneous suprachoroidal haemorrhage: a case report // Cases Journal. – 2009. – Vol. 2. – P. 185.
3. Chen Yu-Yen, Chen Ying-Ying, Sheu S. Spontaneous Suprachoroidal Hemorrhage Associated with Age-related Macular Degeneration and Anticoagulation Therapy // J. Chin. Med. Assoc. – 2009. – Vol. 72, № 7. – P. 385-387.
4. De Marco R., Aurilia P., Mele A. Massive spontaneous choroidal hemorrhage in a patient with chronic renal failure and coronary artery disease treated with plavix // Eur. J. Opthalmol. – 2009. – Vol. 19, № 5. – P. 883-886.
5. Knox F., Johnston P. Spontaneous suprachoroidal haemorrhage in a patient with age-related macular degeneration on excessive anticoagulation therapy // Eye. – 2002. – Vol. 16. – P. 669-670.
6. Lee C., Lee S., Park J. Spontaneous Suprachoroidal Hemorrhage Associated with Wet Type of Age-Related Macular Degeneration and Hypertension: Two Cases // J. Korean Ophthalmol. Soc. – 2011. – Vol. 52, № 8. – P. 999-1004.
7. Lee Y., Sung M., Kang B. Acute angle-closure glaucoma from spontaneous massive hemorrhagic retinal detachment // Korean J. Opthalmol. – 2007. – Vol. 21, № 1. – P. 61-64.
8. Nguyen H., Nork T. Massive Spontaneous Suprachoroidal Hemorrhage in a Young Woman with Cystic Fibrosis and Diabetes Mellitus on Anticoagulants // Retin. Cases Brief. Rep. – 2012. – Vol. 6, № 2. – P. 216-218.
9. Orhir A., Pikkel J., Groisman G. Spontaneous expulsive suprachoroidal hemorrhage // Cornea. – 2001. – Vol. 20, № 8. – P. 893-896.
10. Perry H., Hsieh R., Evans R. Malignant melanoma of the choroid associated with spontaneous expulsive choroidal hemorrhage // Am. J. Ophthalmol. – 1977. – Vol. 84, № 2. – P. 205-208.
11. Speaker M., Guerriero P., Met G. et al. A case-control study of risk factors for intraoperative suprachoroidal expulsive hemorrhage // Ophthalmology. – 1991. – Vol. 98, № 2. – P. 202-209.
12. Srinivasan M. Expulsive choroidal haemorrhage // Indian J. Ophthalmol. – 1992. – Vol. 40. – P. 100-102.
13. Tajika T., Yokozeki H., Ishimaru K.et al. A rare case of choroidal hemorrhage complicated with hypertension due to chronic renal failure // J. Med. Invest. – 2008. – Vol. 55. – P. 151-155.
14. Tan C., Wong H., Lim B. et al. Polypoidal choroidal vasculopathy causing massive suprachoroidal haemorrhage // Eye. – 2007. – Vol. 21, № 1. – P. 132-133.
15. Yang S., Fu A., McDonald H. et al. Massive spontaneous choroidal hemorrhage // Retina. – 2003. – Vol. 23, № 2. – P. 139-144.
Fyodorov Journal of Ophthalmic Surgery. 2014; : 72-75
A RARE CASE OF SPONTANEOUS SUPRACHOROIDAL HEMORRHAGE IN PATIENT WITH ARTERIAL HYPERTENSION AND WET AGE-RELATED MACULAR DEGENERATION
https://doi.org/undefinedAbstract
Purpose. To describe a clinical case of spontaneous suprachoroidal hemorrhage in a female patient with arterial hypertension and wet age-related macular degeneration (AMD).
Material and methods. There are described clinical manifestations, the course and outcome of the first registered in Russia rare case of spontaneous suprachoroidal hemorrhage in a 80-year-old female patient with wet age-related macular degeneration and crisis course of arterial hypertension.
Results. In the result of complex treatment (local and systemic) vitreous and suprachoroidal hemorrhages were completely resolved and the process has been stabilized during 10 months.
Conclusions. The active choroidal neovascularization associated with uncontrolled systemic arterial hypertension may be a cause of massive suprachoroidal hemorrhage in elderly patients and need a more aggressive AMD monitoring.
References
1. Chak M., Williamson T. Spontaneous suprachoroidal haemorrhage associated with high myopia and aspirin // Eye. – 2003. – Vol. 17. – P. 525-527.
2. Chandra A., Barsam A., Hugkulstone C. A spontaneous suprachoroidal haemorrhage: a case report // Cases Journal. – 2009. – Vol. 2. – P. 185.
3. Chen Yu-Yen, Chen Ying-Ying, Sheu S. Spontaneous Suprachoroidal Hemorrhage Associated with Age-related Macular Degeneration and Anticoagulation Therapy // J. Chin. Med. Assoc. – 2009. – Vol. 72, № 7. – P. 385-387.
4. De Marco R., Aurilia P., Mele A. Massive spontaneous choroidal hemorrhage in a patient with chronic renal failure and coronary artery disease treated with plavix // Eur. J. Opthalmol. – 2009. – Vol. 19, № 5. – P. 883-886.
5. Knox F., Johnston P. Spontaneous suprachoroidal haemorrhage in a patient with age-related macular degeneration on excessive anticoagulation therapy // Eye. – 2002. – Vol. 16. – P. 669-670.
6. Lee C., Lee S., Park J. Spontaneous Suprachoroidal Hemorrhage Associated with Wet Type of Age-Related Macular Degeneration and Hypertension: Two Cases // J. Korean Ophthalmol. Soc. – 2011. – Vol. 52, № 8. – P. 999-1004.
7. Lee Y., Sung M., Kang B. Acute angle-closure glaucoma from spontaneous massive hemorrhagic retinal detachment // Korean J. Opthalmol. – 2007. – Vol. 21, № 1. – P. 61-64.
8. Nguyen H., Nork T. Massive Spontaneous Suprachoroidal Hemorrhage in a Young Woman with Cystic Fibrosis and Diabetes Mellitus on Anticoagulants // Retin. Cases Brief. Rep. – 2012. – Vol. 6, № 2. – P. 216-218.
9. Orhir A., Pikkel J., Groisman G. Spontaneous expulsive suprachoroidal hemorrhage // Cornea. – 2001. – Vol. 20, № 8. – P. 893-896.
10. Perry H., Hsieh R., Evans R. Malignant melanoma of the choroid associated with spontaneous expulsive choroidal hemorrhage // Am. J. Ophthalmol. – 1977. – Vol. 84, № 2. – P. 205-208.
11. Speaker M., Guerriero P., Met G. et al. A case-control study of risk factors for intraoperative suprachoroidal expulsive hemorrhage // Ophthalmology. – 1991. – Vol. 98, № 2. – P. 202-209.
12. Srinivasan M. Expulsive choroidal haemorrhage // Indian J. Ophthalmol. – 1992. – Vol. 40. – P. 100-102.
13. Tajika T., Yokozeki H., Ishimaru K.et al. A rare case of choroidal hemorrhage complicated with hypertension due to chronic renal failure // J. Med. Invest. – 2008. – Vol. 55. – P. 151-155.
14. Tan C., Wong H., Lim B. et al. Polypoidal choroidal vasculopathy causing massive suprachoroidal haemorrhage // Eye. – 2007. – Vol. 21, № 1. – P. 132-133.
15. Yang S., Fu A., McDonald H. et al. Massive spontaneous choroidal hemorrhage // Retina. – 2003. – Vol. 23, № 2. – P. 139-144.
