青光眼小梁切除术后浅前房的临床分析  

Clinical analysis about shallow anterior chamber after trabeculectomy

作　　者：孙英[1] 朱惠敏[1] 罗敏[1] 

机构地区：[1]上海第二医科大学附属第九人民医院眼科,200011

出　　处：《临床眼科杂志》2004年第6期515-517,共3页Journal of Clinical Ophthalmology

摘　　要：目的　分析青光眼小梁切除术后浅前房发生的原因及处理方法。方法　 2 0 1例 (2 4 3只眼 )青光眼患者行小梁切除术 ,术后观察浅前房的发生并及时给予相应处理。结果　在 2 4 3只眼中 ,术后有 19只眼发生浅前房(7.82 % )。造瘘口过大、引流过畅 ,缝线松脱、房水渗漏 ,脉络膜脱离及恶性青光眼是术后浅前房发生的主要原因。经对症处理后 ,除一眼前房由浅 变为浅 外 ,其余 18只眼前房均恢复正常。结论　术前、术中有效控制眼压 ,细心操作 ,可减少浅前房的发生 ;术后密切观察前房及眼压变化 ,及时对症处理 ,有利于前房的恢复。Objective To analysis the cause of shallow anterior chamber after trabeculectomy and find the way to deal with it. Method 243 eyes of 201 cases who had suffered from glaucoma were treated with trabeculectomy. The extent of shallow anterior chamber were observed and treated correspondently after operation. Results In 243 eyes, shallow anterior chamber was found postoperatively in 19 eyes(7.82%).Over fluent drainage,aqueous humor leaking,choroidal detachment and malignant glaucoma are the main causes of shallow anterior chamber after trabeculectomy. Conclusion Proper treatment before operation,careful doing during operation,timely management after operation are helpful to reduce the incidence of postoperative shallow anterior chamber.

关 键 词：浅前房 术后观察 小梁切除术 青光眼患者 对症处理 眼前房 临床分析 房水 脉络膜脱离 眼压变化 

分 类 号：R779.6[医药卫生—眼科]