青光眼小梁切除术后低眼压性浅前房的治疗分析  

Analysis Trabeculectomy Hypotony Treatment of Shallow Anterior Chamber

作　　者：黄翠萍[1] 陆颖丽[1] 黄继化 

机构地区：[1]安徽省亳州市人民医院,安徽亳州236000

出　　处：《中国医药指南》2013年第11期442-443,共2页Guide of China Medicine

摘　　要：目的观察分析青光眼小梁切除术后低眼压性浅前房的发病病因及其防治方法,总结其处理效果及临床经验。方法选取我院2009年6月至2012年6月186例(236眼)青光眼行小梁切除术治疗的患者,对其术后并发症及处理的情况进行回顾性分析。结果 186例患者(236眼)中,术后发生低眼压性浅前房并发症有18例(18眼),占7.63%,采取保守治疗后痊愈有16例,治愈率为88.9%,余下2例疗效欠佳,后改为行切口修补术治疗,皆治愈出院,还有1例改为行前房重建术治疗,也治愈出院,随访半年,无再次并发低眼压性浅前房案例。结论低眼压性浅前房是青光眼小梁切除术后常见的并发症,应术后给予积极预防,一旦发现,应给予对症处理,可先采取保守治疗,疗效不理想可对酌情给予手术治疗,改善预后,具有重要的临床意义。Objective To observe the the analysis after trabeculectomy hypotony shallow anterior chamber incidence etiology and prevention methods, and summarize the treatment effect and clinical experience. Methods Our hospital 186 cases from June 2009 to June 2012 （236） the glaucoma trabeculectomy treated patients, its retrospective analysis of postoperative complications and deal with the situation. Results Of the 186 patients （236）, the postoperative shallow anterior chamber hypotony complications in 18 cases （18）, accounting for 7.63%, taken after conservative treatment cured 16 cases, the cure rate was 88.9%, and the remaining two cases of poor efficacy after instead incision repair in the treatment, are cured, there are 1 cases to line the anterior chamber reconstruction treatment also cured, follow-up six months, no complicated by the low-tension shallow anterior chamber case again. Conclusion The low- tension shallow anterior chamber after trabeculectomy common complication, should actively prevent postoperative give, once discovered, should be given symptomatic treatment, can be treated conservatively, the effect is not ideal granting surgery treatment and improve the prognosis, has important clinical significance.

关 键 词：青光眼 小梁切除术 低眼压性浅前房 

分 类 号：R775[医药卫生—眼科]