青光眼小梁切除术后并发症的临床分析  

Clinical analysis of postoperative complications of trabeculectomy

作　　者：朱瑞[1] 赵志和[1] 李岩[1] 戴瑞[1] 

机构地区：[1]中国江苏省宿迁市钟吾医院眼科,223800

出　　处：《国际眼科杂志》2012年第4期704-705,共2页International Eye Science

摘　　要：目的:探讨原发性闭角型青光眼小梁切除术后并发症—浅前房和角膜后弹力层脱离的原因及防治措施。方法:对160例187眼原发性闭角型青光眼小梁切除术后并发症—浅前房和角膜后弹力层脱离的治疗观察。结果:患者160例187眼行小梁切除术后发生浅前房33眼,发生率为17.65%,其中1眼发生脉络膜脱离,经保守治疗治愈。在160例小梁切除术中,我科开展了5例6眼术毕向前房内注入适量透明质酸钠以预防术后浅前房,其中1例双眼发生角膜后弹力层脱离,右眼发生广泛后弹力层脱离经前房注气3次治愈,左眼脱离范围小于1/3未做处理。结论:对于原发性闭角型青光眼小梁切除术时,手术要轻巧,操作要精细,以减少或避免严重并发症的发生。AIM：To evaluate the reasons and the dealing ways of postoperative complications of trabeculectomy in the management of primary angle-closure glaucoma-shallow anterior chamber and descemet membrane detachment.METHODS：Totally 160 cases（187 eyes） of primary angle-closure glaucoma underwent trabeculectomy,postoperative complications-shallow anterior chamber and descemet memberane detachment were observed.RESULTS：There were 33 eyes（17.65%） that incurred shallow anterior chamber,in which 1 occurred choroidal detachment and finally cured after conservative treatment.5 cases（6 eyes） performed anterior chamber injection of sodium hyaluronate,after operation in which 1 occurred both eyes descemet membrane detachment,finally right eye which detached widely cured after 3 times injections of gas in the anterior chamber,as detached less than one-third,left eye was untreated.CONCLUSION：Trabeculectomy in the management of primary angle-closure glaucoma must be performed lightly and accurately in order to reduce and avoid the occurrence of serious complications.

关 键 词：青光眼 闭角型 小梁切除术 浅前房 角膜后弹力层脱离 

分 类 号：R779.6[医药卫生—眼科]