深层巩膜咬切术后浅前房原因探讨  

Analysis on the factors affecting shallow anterior chamber after deep sclerectomy

作　　者：胡凯[1] 

机构地区：[1]东南大学附属中大医院眼科,江苏南京210009

出　　处：《东南大学学报（医学版）》2003年第2期112-113,140,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的 :分析深层巩膜咬切术后浅前房发生的原因。方法 :对不同类型青光眼 3 8例 43眼深层巩膜咬切术进行回顾性总结与分析。结果 :43眼中有 2 8眼发生浅前房 ,发生率为 65 .12 % ,其中脉络膜脱离 6眼 ,咬切口过大 9眼 ,结膜切口渗漏 3眼 ,恶性青光眼 2眼 ,不明原因 8眼。结论 :深层巩膜咬切术后浅前房发生主要原因为睫状体、脉络膜脱离以及咬切口过大。如手术中避免这些因素 ,其仍是一种简单易行。Objective To analyze the causes leading to shallow anterior chamber after deep sclerectomy.Methods 38 cases,43 eyes with different kinds of glaucoma after deep sclerectomy were retrospectively reviewed and analyzed.Results 28 eyes among 43 eyes occured shallow anterior chamber with an incidence of 65.12%.The causes were as following:detachment of choroids in 6 eyes;improperly big hole of sclerectomy in 9 eyes;the seepage of conjunctiva incision in 3 eyes;malignant glaucoma in 2 eyes;unknown reasons in 8 eyes.Conclusion The main reasons for the shallow chamber after deep sclerectomy are detachment of cillary body and choroids as well as the improperly big hole of sclerectomy,which if we avoid during the operation,the sclerectomy is an easy and effective anti-glaucoma operation.

关 键 词：青光眼 深层巩膜咬切术 浅前房 

分 类 号：R775[医药卫生—眼科] R779.6[医药卫生—临床医学]