青光眼术后浅前房的临床分析  

Clinical analysis of shallow anterior chamber after antiglaucomatous operation

作　　者：曹晟玮[1] 周奇鸣[1] 徐昕[1] 

机构地区：[1]宁波市第二医院眼科,浙江宁波315010

出　　处：《眼科》2003年第2期85-87,共3页Ophthalmology in China

摘　　要：目的 :分析青光眼患者于抗青光眼手术后发生浅前房的原因 ,以减少术后浅前房的发生。方法 :2 4 6例 (2 80只眼 )青光眼患者行巩膜下咬切术及虹膜切除术。对其病历进行分析。结果 :2 80只眼中 ,手术后 2 9只眼 (10 36 % )发生浅前房。经分析其原因有 :1)造瘘口过大 ,引流过畅 (8/ 2 9只眼 ,2 7 6 % ) ;2 )结膜瓣缝线过松 ,致房水渗漏 (5 / 2 9,17 2 % ) ;3)脉络膜脱离 (4/ 2 9,13 8% ) ;4 )恶性青光眼 (2 / 2 9,6 9% ) ;5 )虹膜睫状体炎 (1/ 2 9,3 4 % ) ;6 )原因不明 (9/ 2 9,31 0 % )。经对症治疗后 ,前房均恢复正常。结论 :对不同类型青光眼患者 ,术前应予以适当治疗 ,术中细心操作 ,术后密切观察并予以对症处理 。Objective:To analyse clinically the causes of shallow anterior chamber after antiglaucomatous operations.Method:246 patients (280 eyes) with glaucoma were treated with sclerectomy and peripheral iridectomy,and shallow anterior chamber was found postoperatively in 29 eyes(10 36%).The causes included:1)filfration opening too large making aqueous humour more freely flowing out (8/29,27 6%);2)conjunctival flap too loose so there was leakage of aqueous humor(5/29,17 2%);3)detachment of choroid (4/29,13 8%);4)malignant glaucoma(2/29,6 9%);5)iridocyclitis(1/29,3 4%);6)unknown(9/29,31 0%).After proper management shallow anterior chambers returned to normal depth in all cases.Conclusion:To various types of glaucoma,proper treament before operation,careful doing during operation,close obseration and proper management after operation are helpful to reduce the incidence of postoperative shallow anterior chamber.

关 键 词：青光眼/外科学 浅前房 

分 类 号：R779.6[医药卫生—眼科]