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青光眼小梁切除术后浅前房的临床探讨

Clinical observation on shallow anterior chamber after trabeculectomy
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摘要 目的:探讨青光眼小梁切除术后浅前房形成的常见原因及处理方法。方法:回顾我院收治的316例(375只眼)青光眼病人行小梁切除术后发生浅前房的原因、类型及处理方法。结果:其中55只眼发生浅前房,发生率为14.7%。浅前房发生在术后1~7日,其中滤过通畅31只眼(56.4%),结膜瓣渗漏16只眼(29.1%),睫状体脉络膜脱离5只眼(9.1%),睫状环阻滞性青光眼3只眼(5.4)。结论:浅前房是青光眼小梁切除术后常见的并发症,大多数病人可通过保守治疗治愈,少数需手术治疗。 Objective :To study the common causes and the managements of shallow anterior chamber after trabeculectomy.Methods:316 patients (375 eyes) with glaucoma were retrospectively reviewed in the incidence,cause type and management of postoperative shallow anterior chamber after trabeculectomy.Results:55 eyes occurred shallow anterior chamber after trabeculectomy with the incidence of 14.7%(55/375).Shallow anterior chamber occurred in 1-7 d after operations and the causes were excessive aqueous over-filtration (56.4% ,31eyes),filter bleb leaks(29.1% ,16eyes),choroidal detachment(9.1% ,5eyes),ciliary block glaucoma(5.4% ,3eyes).Conclusion: Shallow anterior chamber is the common complication after trabeculectomy. Most of the shallow anterior chamber can be reformed through conservative management, a few need surgery.
作者 杨旭 方晏红
出处 《现代医药卫生》 2009年第4期494-496,共3页 Journal of Modern Medicine & Health
关键词 青光眼 小梁切除术 浅前房 Glaucoma Trabeculectomy Shallow anterior chamber
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