摘要
目的 探讨青光眼小梁切除术后浅前房的最常见原因及其防治方法。方法 尽早采取紧密闭合巩膜瓣的手术及综合治疗方法。结果 117眼 10 1眼非手术治疗前房全部恢复 ,16眼手术治疗 15眼前房完全恢复 ,两种方法治疗后浅前房完全恢复达 99.33%,1眼完全失明 ( 0 .6 7%)。结论 房水滤过过强是小梁切除术后浅前房形成的最常见原因 ,绝大多数浅前房患者经非手术治疗而得到恢复 ,适应手术病例需行手术治疗 ,方可明显降低术后浅前房 ,紧密闭合巩膜瓣术是一种切实可行的手术方法。
Objective To investigate the most common causes for flat anterior chamber after trabeculectomy in glaucoma and its treatment.Method The operation of seleral flap closure and comprehensive treatment were taken as soon as possible after trabeclectomy.Results Anterior chamber in 101 of 115 eyes recovered through non-operative methods,and in 15 of 16 eyes through operation methods.For these methods,the total recovering ratio was 99.33%,and one eye(0.67%) was blind.Condusions Excessive percolation after trabeculectomy is the most common cause for flat anterior chambers,most of the patients can recover through non-operative method.Only in some necessary cases operation is essential,which may decrease postoperative flat anterior chamber.The seleral flap closure operation is a practicable and effective method.
出处
《现代诊断与治疗》
CAS
2002年第6期335-337,共3页
Modern Diagnosis and Treatment
关键词
青光眼
术后滤过过强
浅前房
原因
防治
Glaucoma/surgery
Anterior chamber
Trabeculectomy
Percolation
