青光眼小梁切除术后浅前房的临床分析及处理  

Clinical analysis and treatment of shallow anterior chamber after glaucoma trabecul ectomy

作　　者：张文波[1] 

机构地区：[1]山东省东营市胜利油田中心医院眼科,257034

出　　处：《医学信息（下旬刊）》2010年第5期76-76,共1页Medical information

摘　　要：目的：探讨小梁切除术后浅前房的发生原因及处理方法.方法：对不同类型青光眼85例145眼小梁切除术后浅前房51眼进行原因分析及治疗效果观察.结果：本组85例145眼小梁切除术后发生浅前房51眼,占35%.浅前房的主要原因是术前高眼压和眼部炎症反应.经过保守或手术综合治疗,均在术后7～15d内前房逐渐形成,随访3～10mo,眼压控制良好,无严重并发症.结论：小梁切除术降压效果肯定,但浅前房发生率较高,应术前注意控制眼压,减轻炎症反应,手术操作准确,可减轻浅前房的发生.Objective： To explore the causes and treatment methods of shallow anterior chamber after glaucoma trabeeulectomy. Methods：A total of 85 cases（145eyes）with different types of glaucoma under went trabeculectomy. Among them 51 eyes shallow anterior chamber after operation. The causes and treatment effects we re analyzed. Results：In present study, shallow anterior chamber occurred in 51 eyes making up 23 %. The main causes for shallow anterior chamber were preoperative high intraocular pressure（IOP）and ocular inflam mations. Through conservative or surgical cop rehensive therapy,anterior chamber was formed gradually with in 7 to 15 days after operation. During the follow-up of 3 to 10 months , IOP was controlled well and no severe complications were found. Conclusion：The antihypertensive effect of trabeculectomy is good, but the incidence of shallow anterior chamber is high. Attentions should be paid to control preoperative IOP, to reduce in flammation,to promote the accuracy of surgical procedure. Thus the occurrence of shallow anterior chamber may be reduced.

关 键 词：浅前房 小梁切除术 青光眼 

分 类 号：R779.6[医药卫生—眼科]