摘要
目的探讨抗青光眼术后浅前房与术前眼压及手术方式的关系；分析与术后结膜伤121渗漏、滤过过强及脉络膜脱离的关系。方法回顾性总结各类型青光眼的抗青光眼手术236例（278眼）术后发生浅前房的情况。结果发生浅前房49眼（17．63％）。术前眼压≤21mmHg者183眼中发生浅前房17眼（9．29％），术前眼压22—35mmHg者57眼发生浅前房15眼（26．32％），术前眼压≥35mmHg者38眼巾发生浅前房17眼（44．74％）。小梁切除术185眼中术后发生浅前房26眼（14．54％），巩膜咬切术93眼中浅前房23眼（24．73％）。术后结膜渗漏9眼（18．37％），滤过过强20眼（36．73％），脉络膜脱离5眼（10．20％），另有原因不明者15眼。结论抗青光眼术后浅前房与多种因素有关。（1）术前眼压控制正常者，发生率低；（2）小梁切除较巩膜咬切术发生率低；（3）以滤过过强性者为最多。
Objective To explore the relationship between postoperative shallow anterior ehanber （SAC） and preoperative intraocular pressure or surgery way. To analyse the relation ship between postoperative SAC and leakage of conjunctive incision,filtering much more and detachment of ehnorioid postoperatively.Methods Review which occured postoperative SAC in 278 eyes of different kinds of glaucoma. Results All of the postoperative SAC occured in 49 eyes （17.63%） 17 eyes occured SAC in 183 eyes with equal or below 21 mmHg preoperative intraocular pressure. 15 in 57 eyes （26.32%） with preoperative intraocular pressure of 22 -35 mmHg occured. 17 in 38 eyes （44.74%） with equal or over 35 mmHg preoperative intraoeular pressure occured. 26 of 185 eyes （ 14.54% ） with trabeculeetomy occured. 23 of 93 eyes （24.73%） with scleractomy occured, 9 eyes were because of conjunctive leakage postoperatively. 20 eyes were because of much more filtering. 5 eyes were related with the detachment of chorioid and other 5 eyes had no obvious causes. Conclusions Shallow anterior chamber after anti-glaucoma surgery had relationship to many kinds of factors. The most cause of postoperative SAC is much more tilting.
出处
《眼外伤职业眼病杂志》
北大核心
2007年第1期30-32,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
抗青光眼手术
术后浅前房
相关因素
治疗
anti-glaucoma surgery
postoperativer shallow anterior Chamber
relative factor
treatment
