摘要
目的:分析急性闭角型青光眼小梁切除术后浅前房的原因及处理方法。方法:对2006年1月至2009年5月就诊于我院的急性闭角型青光眼患者330例422眼行小梁切除术,术中联合应用丝裂霉素C0.4g/L。对术后浅前房50例(58眼)进行原因分析及治疗效果观察统计。结果:本组330例422眼小梁切除术后眼压均下降,发生浅前房50例58眼。原因:房水滤过过强29眼,结膜瓣渗漏15眼,睫状体脉络膜脱离5眼,恶性青光眼3眼。保守治疗44眼,手术治疗14眼。结论:急性闭角型青光眼患者小梁切除术中应用丝裂霉素C后浅前房较常见,大多数浅前房可通过保守治疗治愈。
Objective：To analyze the causes and treatment ofshallowanterior chamber in 50 patients（58 eyes）with primary angle closed glaucoma after trabeculectomy.Methods：330 cases（422 eyes）with primary angle closed glaucoma,enrolled from January 2006 to May 2009 in our hospital,were underwent trabeculectomy with application of 0.4 g/L mitomycin C once under and above sclera flap during all filtering surgeries.50 patients（58 eyes）were found with postoperative shallow anterior chamber.Results：The intraocular pressure of all patients were decreased.The incidence of shallow anterior chamber were found 50 patients（58 eyes）.The causes were excessive aqueous humor filteration（29 eyes）,filter bleb leaks（15 eyes）,choroida detachment（5 eyes）,malignant glaucoma（3 eyes）.Anterior chamber reformed in 8 eyes with surgical procedure and 88 eyes without any surgical procedure.Conclusion：The incidence of shallowanterior chamber is high after trabeculetomy with application of mitomycin C in patients with primary angle closed glaucoma.Most of such cases could be reformed through conservation treatment.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2010年第7期1108-1110,共3页
Journal of Chongqing Medical University
关键词
青光眼
小梁切除
手术并发症
浅前房
Glaucoma
Compound trabeculectomy
Complication
Shallow anterior chamber
