青光眼小梁切除术后浅前房33眼诊疗体会  

Analysis of shallow anterior chamber after trabeculectomy in 33 patients with glaucoma

作　　者：杨健[1] 殷义平[1] 陈新[1] 汪鸿[1] 姚有根 

机构地区：[1]安徽省池州市人民医院眼科,247000

出　　处：《实用防盲技术》2013年第3期96-98,102,共4页Journal of Practical Preventing Blind

摘　　要：目的分析青光眼小梁切除术后浅前房的原因及处理方法。方法回顾分析我院青光眼小梁切除术后浅前房32例(33眼)的原因及治疗效果。结果 2007年1月至2012年12月我院283例375眼小梁切除术后发生浅前房32例33眼,发生率为8.8%。原因:房水滤过过强23眼,结膜瓣渗漏4眼,睫状体脉络膜脱离4眼,恶性青光眼1眼,原因不明1眼。保守治疗30眼,手术治疗3眼。结论青光眼患者小梁切除术后并发症浅前房发生率较高,针对病因进行及时合理治疗,大都可通过保守治疗治愈。Objective To analyze the causes and treatment of shallow anterior chamber after trabeculectomy. Methods The causes and curative effect of shallow anterior chamber after trabeeulectomy in 32 cases （33 eyes） in our hospital were retrospectively analyzed. Results There were 32 cases （33 eyes） （8.8%） with shallow anterior chamber in 283 cases （375 eyes） after operation of glaucoma in our hos^pital from 2007.1 - 2012.12. The causes were excessive aqueous humor filtration in 23 eyes, filter bleb leaks in 4 eyes, choroidal detachment in 4 eyes, malignant glaucoma in 1 eyes, unknown causes in 1 eye. 3 eyes needed surgical procedure for the reformation of anterior or chamber. Conclusion The incidence of shallow anterior chamber is high after trabeculectomy. Most of the shallow anterior chamber can be reformed through conservation treatment.

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]