小梁切除术后低眼压性浅前房原因探讨与诊治体会  

Causes of low-tension shallow anterior chamber after glaucoma trabeculectomy

作　　者：杜秀梅[1] 路磊[1] 

机构地区：[1]中国陕西省延安市人民医院眼科,716000

出　　处：《国际眼科杂志》2008年第9期1915-1916,共2页International Eye Science

摘　　要：目的:探讨青光眼小梁切除术后浅前房的原因,寻求有效的诊治方法。方法:回顾总结2003-06/2007-06间285例(303眼)抗青光眼小梁切除术及术后发生低眼压性浅前房的原因、程度及诊疗过程。结果:本组发生术后低眼压性浅前房58例89眼(29.4%)。其中,结膜切口漏6眼(6.7%),滤过过强46眼(51.6%)脉络膜、睫状体脱离37眼(41.6%。)结论:抗青光眼小梁切除术后低眼压性浅前房原因复杂,其中,除滤过过强外,脉络膜、睫状体脱离是很重要的一个原因。AIM： To discuss the causes of low-tension shallow anterior chamber after glaucoma trabeculectomy and to investigate the effective method of diagnosis and treatment. METHODS. Totally 285 cases （303 eyes） underwent glaucoma trabeculectomy or occurred low-tension shallow anterior chamber after operation, hospitalized from June, 2003 to June, 2007, were retrospectively analyzed on the causes, degree and process of diagnosis and treatment. RESULTS.. Eighty-nine eyes （29. 4%） occurred lowtension shallow anterior chamber after glaucoma trabeculectomy. Of them, 6 eyes （6. 7%） were leakage of conjunctival incision, 46 eyes （51. 6%） were excessive percolation, 37 eyes （41. 6%） were choroidal or ciliary detachment. CONCLUSION： Complicated factors may result in lowtension shallow anterior chamber after glaucoma trabeculectomy, and excessive percolation and choroidal or ciliary detachment are the main causes.

关 键 词：青光眼 小梁切除术 浅前房 原因 

分 类 号：R779.6[医药卫生—眼科]