青光眼小梁切除术后浅前房形成的原因及处理  

Causes and treatment of shallow anterior chamber after trabeculectomy on glaucoma

作　　者：向金明[1] 郑琦[1] 许艳红[1] 郑根主[1] 林肯[1] 

机构地区：[1]中国石油中心医院眼科,中国河北省廊坊市065000

出　　处：《国际眼科杂志》2011年第4期671-672,共2页International Eye Science

摘　　要：目的:探讨青光眼小梁切除术后浅前房形成的原因及处理。方法:对96例128眼青光眼小梁切除术后浅前房者26眼进行回顾分析。结果:128眼小梁切除术后有26眼发生浅前房,发生率为20.3%。浅前房原因主要为滤过过畅19眼(73.1%),结膜瓣渗漏4眼(15.4%),脉络膜脱离2眼(7.7%)和恶性青光眼1眼(3.8%),采用保守治疗和/或手术治疗后前房均形成。结论:青光眼术后浅前房是一种常见并发症,针对其发生原因采取相应的处理可以预防或避免浅前房的发生。AIM：To analyze the causes and treatment of shallow anterior chamber after trabeculectomy on glaucoma. METHODS.A total of 96 case 128 eyes with glaucoma were treated with trabeculectomy and postoperatively shallow anterior chamber was found. All cases were analyzed retrospectively, RESULTS： Shallow anterior chamber was found in 26 eyes （20. 3%） after trabecufectomy in 128 eyes. The causes included -excessive aqueous humor run off （19/26, 73.1% ）, leakage of filter bulb （4/26,15.4%）, detachment of choroid （2/26, 7. 7%）, malignant glaucoma （1/26, 3.8%）. After proper management, shallow anterior chamber returned to normal depth in all cases. CONCLUSION：Shallow anterior chamber is usually found after trabeculectomy. It is necessary to adopt corresponding treatment according to its causes for avoiding the shallow anterior chamber.

关 键 词：青光眼 小梁切除术 浅前房 

分 类 号：R779.6[医药卫生—眼科]