摘要
目的分析青光眼复合式小梁切除术后浅前房发生的原因和治疗效果。方法回顾性分析我院青光眼复合式小梁切除术后浅前房37例（38眼）的原因及治疗效果。结果青光眼复合式小梁切除术683眼中术后发生浅前房38眼（5．56％）。分析其原因主要为滤过过强18眼，结膜瓣渗漏3眼，脉络膜脱离11眼，睫状环阻塞性青光眼5眼，其他原因1眼。治疗采用的药物：睫状肌麻痹剂、高渗剂、皮质类固醇等和／或手术，包括：结膜瓣修补术，玻璃体抽液联合前房注气术等，32眼经过药物治疗前房形成，6眼药物治疗无效通过手术治疗后前房形成。结论38眼复合式小梁切除术后浅前房84．22％的术后浅前房可以通过药物形成前房，只有15．78％需要手术治疗。
Objective To analyze the causes and treatments of shallow anterior chamber after compound trabeculeetomy for glaucoma. Methods We retropeetively analyzed the causes and curative effect of shallow anterior chamber after compound trabeculectomy in 38 eyes （37 cases） in our hospital. Results There were 38 eyes （5.57%） with shallow anterior chamber in 683 eyes after operation of glaucoma in our hospital from 2006 to 2009. The main causes of shallow anterior chamber after trabeculectomy were strong filteration in 18 eyes （42. 15% ）, detachment of ehorioid in 11 eyes （28.94%）, leakage of conjunctival flap in 3 eyes （7.89%） , ciliary-block glaucoma in 5 eyes （ 13.15% ） , other causes 1 eyes （2.63%）. The treatment included medication （cycloplegies, high osmosis drug and corticosteroids） and/or surgery （neoplasty of conjunctival flap, vitrous aspiration and anterior chamber gas injection etc. ）. The anterior chamber was established in 32 eyes （84.22%） by drug treatment and in 6 eyes （ 15.78% ） by surgery. Conclusions The main causes of shallow anterior chamber after compound trabeculeetomy for glaucoma were strong out- flow of aqueous humor, detachment of choroid, leakage of conjunctival flap and ciliary-block glaucoma. Anterior chamber was established by drug treatment in 84.22% of the eyes, and by surgery in only 15.78% of the eyes.
出处
《中华眼外伤职业眼病杂志》
2011年第7期537-540,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
浅前房
小梁切除术
复合式
原因
治疗
shallow anterior chamber
compound trabeeulectomy
causes
treatment
