抗青光眼术后浅前房的前房重建手术  

Reconstruction of shallow anterior chamber after anti-glaucoma surgery

作　　者：刘卫华[1,2] 段安丽[1,2] 

机构地区：[1]首都医科大学附属北京同仁医院,北京同仁眼科中心,北京100730 [2]北京市眼科学与视觉科学重点实验室

出　　处：《中国实用眼科杂志》2010年第5期474-476,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 探讨青光眼滤过术后浅前房的手术方法和效果.方法 取17例抗青光眼术后浅前房患者经保守治疗无效,有7只眼发生脉络膜脱离,5只眼行脉络膜上腔放液＋前房成形术,1只眼行白内障超声乳化及人工晶状体植入术及前房成形术,1只眼行脉络膜上腔放液＋白内障超声乳化及人工晶状体植入术＋前部玻璃体切割术＋前房成形术.有9只眼发生恶性青光眼,1例行抽玻璃体水囊联合前房成形术,3例行前部玻璃体切除及后囊切开联合小梁切除及丝裂霉素联合白内障超声乳化及人工晶状体植入及房角分离术,1例行前部玻璃体切除术中发生脉络膜脱离及脉络膜上腔出血行前部玻璃体切除联合玻璃体腔放液,2只眼行前部玻璃体切除联合白内障超声乳化及人工晶状体植入及房角分离术,1例行前部玻璃体切除联合前房成形术,术后前房仍浅又行白内障超声乳化及人工晶状体植入及后囊膜切开及房角分离术,1例为视网膜脱离术后硅油存留眼行白内障超声乳化联合虹膜周边切除术及前房成形术.结果 术后前房恢复时间脉络膜脱离组行脉络膜上腔放液及前房成形术平均为5.6d,恶性青光眼组行白内障超声乳化及人工晶状体植入术联合前部玻璃体切除及后囊切开组前房恢复时间最短,平均为1.1d.结论 恶性青光眼组行白内障超声乳化及人工晶状体植入术联合前部玻璃体切除及后囊切开治疗有效快速.Objective To explore the reconstruction of anterior chamber of shallow anterior chamber after anti-glaucoma surgery.Methods Among 17 eyes of anti-glaucoma surgery postoperatively, 7 eyes with detachment of choroid, 5 eyes were performed suprachoroidal fluid drain out and anterior chamber air injection, 1 eye received phacoemulsification combining with posterior chamber intraocular lens implantation; 1 eye with suprachoroidal fluid draining out and phacoemulsification combining with posterior chamber intraocular lens implantation and anterior vitrectomy.Of 9 eyes had malignant glaucoma, 1 eye was to draw out aqueous in vitreous pool combining with injecting air into anterior chamber; 3 eyes following cataract extraction and posterior chamber intraocular lens implantation, anterior vitrectomy combined with primary capsulectomy, go-niosynechialysis combined with trabeculectomy; 1 eye with anterior vitrectomy surgery in the presence of suprachoroidal expulsive hemorrhage underwent draining out suprachoroidal fluid.One eye which underwent combined anterior vitrectomy and injecting air into anterior chamber was failed, and then had a successful outcome following phacoemulsification and implantation of posterior chamber intraocular lens, goniosynechialy-sis and capsulectomy. Two eyes following cataract extraction and implantation of posterior chamber intraocular lens, anterior vitrectomy combined with primary capsulectomy, goniosynechialysis were successful.One eye with silicone was done to be given combining with peripheral iridectomy trabeculectomy and injecting air into anterior chamber.Results The average time of anterior chamber regained its normal depth with detachment of choroid and aqueous in vitreous pool drained out combining with anterior chamber air injection was 5.6 days. The average time with malignant glaucoma following cataract extraction and implantation of posterior chamber intraocular lens, anterior vitrectomy combined with primary capsulectomy, goniosynechialysis was 1.1 days. Conclusions Phacoemulsi

关 键 词：抗青光眼手术 浅前房 前房重建 

分 类 号：R775[医药卫生—眼科]