青光眼滤过手术后浅前房的临床分析  

Clinical analysis about shallow anterior chamber after trabeculectomy on glaucoma

作　　者：董凯[1] 

机构地区：[1]商丘市第一人民医院眼科,河南省商丘476100

出　　处：《中国基层医药》2006年第7期1171-1172,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨青光眼滤过性手术后浅前房的原因及处理方法。方法对168例196眼青光眼患者行小梁切除术,针对青光眼滤过手术后浅前房发生的原因,给予相应的治疗。结果196眼发生浅前房39眼占20%。房水渗漏、引流过畅、脉络膜脱离、睫状环阻塞性青光眼是滤过性术后浅前房的主要原因。手术结束时前房重建、术后及时发现及治疗浅前房,效果满意。结论术后浅前房是一种常见的并发症,如不及时治疗,会导致严重的后果,应尽早明确病因及时治疗,对保护视功能意义重大。Objective TO investigate the cause of shallow anterior chamber after filtered operation and determine how to treat shallow anterior chamber. Methods 196 eyes of 168 cases who had suffered from glaucoma underwent trabeculeetomy. The number of eyes and the extent of shallow anterior chamber were observed and treated correspondently. Results There were 39 eyes with shallow anterior chamber among 196 eyes, and the percentage was 20 %. Over fluent drainage, aqueous humor leaking, choroidal detachment and malignant glaucoma were the main causes of shallow anterior chamber after trabculectomy. Careful operation good,good reconstruction and timely management were crucial to decrease the complications. Conclusion Shallow anterior chamber can not be fully preventable, but its happening can be minimized and cured effectively. It is significant to protect visual function.

关 键 词：青光眼 手术后并发症 前房 

分 类 号：R779.6[医药卫生—眼科]