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作 者:李秀贵[1]
出 处:《中国医药导刊》2009年第11期1847-1848,共2页Chinese Journal of Medicinal Guide
摘 要:目的:探讨抗青光眼术后浅前房发生原因、处理及预防措施。方法:选择不同类型抗青光眼术后206例(278眼),按发生浅前房的原因进行分类和采取相应的治疗措施。结果:278眼中,共有58眼发生浅前房,占20.86%。其中滤过过强31眼(53 45%);结膜瓣渗漏18眼(31.03%);脉络膜脱离8眼(13.79%);睫状环阻塞性青光眼1眼(1.72%)。采用保守和/或手术治疗后前房形成。结论:小梁切除术降压效果肯定,但浅前房发生率高,注意术前降眼压,减轻炎症反应,术中操作准确,可减少浅前房的发生。Objective:To explore the causes and treatment of shallow anterior chamber after anti-glaucoma surgery,Methods:206cases(278 eyes)of different glaucoma received trabeculectolmy shallow anterior chamber took place in 58 eyes.The causes and treatment results were studies.Results:The incidemce of shallow anterior chamber was 58 eyes(20.86%)in 278 eyes.The causes were excessive aqueous humor filtration(53.45%)in 31 eyes,filter bleb leaks(31.03%)in 18 eyes,choroidal detachment(13.79%)in 8 eyes,ciliary block glaucoma(1.72%)in 1 eye.The auterior chamber was established by drug treatment and/or surgery.Conclusions:Trabeculectomy is effective for control of intraocular pressure,but has high rate of shallow anterior chamber.Control of preoperative intraocular pressure and inflaumation could decrease this complication.
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