摘要
目的 探讨青光眼小梁切除术后浅前房与术前眼压、术后结膜伤口渗漏、滤过过强及脉络膜脱离的关系。方法 回顾性总结行青光眼小梁切除术后172例（189眼）术后发生浅前房的情况。结果 发生浅前房41眼（21．69％）。术前眼压≤21mmHg者146眼中发生浅前房17眼（11．64％），术前眼压22～35mmHg者32眼发生浅前房13眼（40．62％），术前眼压≥35mmHg者11眼中发生浅前房6眼（54．54％）。术后结膜瓣渗漏11眼（26．83％），滤过过强24眼（58．53％），脉络膜脱离5眼（12．19％），恶性青光眼1眼（2．44％）。结论 青光眼小梁切除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以滤过过强性者为最多。
Objective To explore the relationship between postoperative shallow anterior chamber and preoperative intraocular pressure, leakage of conjunctive incision, filtering much more and detachment of choroid postoperatively. Methods Review which occured postoperative shallow anterior chamber in172 patients（ 189 eyes） of different kinds of glaucoma. Results All of the posteroperative shallow anterior chamber occured in 41 eyes （21.69% ）. 17eyes in 146 eyes （11.64% ）occured shallow anterior chamber with equal or below 21 mmHg preoperative intraocular pres- sure. 13 in 32 eyes （ 40.62 % ） with preoperative intraocular pressure of 22 - 35 mmHg occurred. 6 in 11 eyes （ 54.54 % ） with preoperative intraocular pressure equal or over 35 mmHg occurred. Eyes were because of conjuntive leakage postoperatively. Eyes were because of much more filering. Eyes were related with the detachment of choriod and other 1 eye was caused by malignant glaucoma. Conclusions Shallow anterior chamber after trabeculectomy had relationship to many kinds of factors. The better control of the preoperative intraocular pressure the less occure of the postoperative shallow anterior chamber. The most cause of postoperative shallow anterior chamber is much more filtering.
出处
《临床和实验医学杂志》
2007年第6期74-75,共2页
Journal of Clinical and Experimental Medicine
关键词
青光眼
小梁切除术
浅前房
治疗
Glaucoma
Trabeculectomy
Shallow anterior chamber
Treatment
