青光眼术后浅前房原因分析  

Analysis of causes of shallow anterior chamber after glaucoma surgery.

作　　者：杨君[1] 张雪梅[1] 

机构地区：[1]甘肃省人民医院眼科,甘肃兰州730000

出　　处：《眼外伤职业眼病杂志》2006年第1期9-11,共3页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的探讨青光眼手术后浅前房的发生原因及透明质酸钠在治疗持续性前房不形成的临床疗效。方法回顾青光眼手术104例(142眼)发生浅前房54例(58眼,占40.85%)的发生时间、类型及处理方法,分析各类型青光眼和手术方式对术后浅前房的影响。结果青光眼术后发生浅前房58眼发生率为40.85%(58/142)。其中闭角型青光眼术后发生率较高达57.89%(44/77)。按浅前房的原因分析,房水滤过过强者32眼(55.17%);结膜瓣渗漏7眼(12.07%);脉络脉脱离者5眼(8.62%)。结论青光眼滤过手术后浅前房发生率高,其最常见的原因是房水滤过过强。大多数浅前房可行非手术治疗,透明质酸钠在前房重建中效果良好。Objective To investigate the causes of shallow anterior chamber after glaucoma surgery and effect of treating sustained anterior chamber disappearance with NaHA. Methods Retrospectively analyzed nf 54 cases（58 eyes） of shallow anterior chamber in 104 cases（ 142 eyes） after glaucoma surgery, and analyzed influence of glaucoma and its types of surgery on shallow anterior chamber. Results 54 cases （58 eyes） of shallow anterior chamber after glaucoma surgery was 40.85%, the incidence of closed glaucoma was higher （30.99%）, excessive aqueous humor run off was 55.17 %, conjunctiva leakage was 12.07 % , detached choroids was 8.62 %. Conclusion Shallow anterior chamber after glaucoma surgery was high, excessive aqueous humor runoff was the common cause. The most cases of shallow anterior chamber were treated by non - surgical therapy, NaHA has good effect in anterior chamber rebuilding.

关 键 词：青光眼 浅前房 并发症 治疗 透明质酸钠 

分 类 号：R779.6[医药卫生—眼科]