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青光眼小梁切除术后浅前房常见原因分析及处理

The common reasons analysis and treatment of shallow anterior chamber after glaucoma trabeculectomy
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摘要 目的分探讨抗青光眼术后浅前房与术后结膜伤口渗漏、滤过过强及脉络膜脱离的关系。方法回顾性总结各类型青光眼的抗青光眼手术173例(185眼)术后发生浅前房的情况。结果185眼术后浅前房43例49眼占26.49%。其中滤过术后引流过畅31眼,占63.27%;房水渗漏3眼,占6.12%;脉络膜脱离4眼,占8.16%,原因不明11眼,占22.45%。结论抗青光眼术后浅前房与多种因素有关,其中滤过过强是最常见的原因。青光眼术后浅前房虽不能完全预防,但应积极查找原因并及时处理。 Objective To analyze the relationship between postoperative shallow anterior chamber (SAC) and leakage of conjunctive wound, excessive outflow and detachment of choroids. MethOds A retrospective study was conducted to 173 patients(185 eyes) who occurred SAC. Results The postoperative SAC occurred in 49 eyes (26. 49% ) : 31 eyes (63.27%)were caused by excessive outflow, 3 eyes (6.12%) by conjunctive leakage postoperatively, 4 eyes (8.16%) by choroidal detachment and other 11 eyes(22.45%) by no obvious causes. Conclusions SAC after anti-glaucoma surgery may be associated with many factors. The main cause of postoperative SAC is excessive outflow. Although SAC after glaucoma trabeculectomy can not be completely prevented, it should be found and treated immediately.
出处 《实用防盲技术》 2009年第4期11-12,共2页 Journal of Practical Preventing Blind
关键词 青光眼 小梁切除术 浅前房 Glaucoma Trabeculectomy Postoperative shallow anterior chamber
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参考文献8

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