摘要
目的：探讨小梁切除术后浅前房的发生原因及处理方法。方法：对不同类型青光眼43例65眼小梁切除术后浅前房15眼进行原因分析及治疗效果观察。结果：本组43例65眼小梁切除术后发生浅前房15眼，占23％。浅前房的主要原因是术前高眼压和眼部炎症反应。经过保守或手术综合治疗，均在术后7～15d内前房逐渐形成，随访3～30mo，眼压控制良好，无严重并发症。结论：小梁切除术降压效果肯定，但浅前房发生率较高，应术前注意控制眼压，减轻炎症反应，手术操作准确，可减轻浅前房的发生。
AIM： To explore the causes and treatment methods of shallow anterior chamber after trabeculectomy.
METHODS： A total of 43 cases （65 eyes） with different types of glaucoma underwent trabeculectomy. Among them 15 eyes had shallow anterior chamber after operation. The causes and treatment effects were analyzed.
RESULTS： In present study, shallow anterior chamber occurred in 15 eyes making up 23%. The main causes for shallow anterior chamber were preoperative high intraocular pressure （IOP） and ocular inflammations. Through conservative or surgical coprehensive therapy, anterior chamber was formed gradually within 5 to 7 days after operation. During the follow-up of 3 to 30 months, IOP was controlled well and no severe complications were found. CONCLUSION ： The antihypertensive effect of trabeculectomy is good, but the incidence of shallow anterior chamber is high. Attentions should be paid to control preoperative IOP, to reduce inflammation, to promote the accuracy of surgical procedure. Thus the occurrence of shallow anterior chamber may be reduced.
出处
《国际眼科杂志》
CAS
2008年第3期637-638,共2页
International Eye Science
关键词
浅前房
小梁切除术
青光眼
shallow anterior chamber
trabeculectomy
glaucoma
