小梁切除术后浅前房原因分析与治疗  

The causes and management of shallow anterior chamber after trabeculectomy of glaucoma

作　　者：赵宪孟 

机构地区：[1]中国河南省濮阳市眼科研究所,457001

出　　处：《国际眼科杂志》2006年第3期686-687,共2页International Eye Science

摘　　要：目的:分析青光眼患者小梁切除术后发生浅前房的原因与治疗方法。方法:对230例(272眼)青光眼施行小梁切除术,对发生浅前房40例(44眼)进行原因分析和治疗观察。结果:40例(44眼)浅前房主要原因为滤过功能过强和脉络膜脱离,浅前房按Spaeth法分级,浅Ⅰ度30例(32眼)、浅Ⅱ度6例(6眼)、浅Ⅲ度4例(6眼)。结论:针对青光眼小梁切除术后浅前房的不同原因,采取相应治疗措施,可达到恢复前房的目的。AIM： To investigate the causes and the therapeutic approaches of shallow anterior chamber caused by trabeculectomy. METHODS： A total of 40 cases （44 eyes） with postoperative shallow anterior chamber from 230 cases （272 eyes） were analyzed. RESULTS： The shallow anterior chamber mainly resulted from over drainage and choroidal detachment. The depth of shallow anterior chamber was classified according to Spaeth classification： shallow anterior chamber grade Ⅰ in 30 cases （32 eyes）, grade Ⅱ in 6 cases （6 eyes） and gradeⅢ .in 4 cases （6 eyes）. CONCLUSION： The shallow anterior chamber was mainly caused by over drainage and choroidal detachment while performing trabeculectomy for glaucoma, and it could be cured and prevented effectively wit proper approaches.

关 键 词：青光眼 小梁切除术 浅前房 原因 治疗 

分 类 号：R779.6[医药卫生—眼科]