摘要
目的讨论小梁切除术、巩膜咬切术和虹膜嵌顿术后浅前房的原因和发生情况。方法回顾性总结１９８６～１９９６年在我院眼科进行３种抗青光眼手术的３９０只各种青光眼病例。结果（１）术前眼压≤２１ｍｍＨｇ（１ｍｍＨｇ＝０．１３３ｋＰａ）者１０９只眼，小梁切除术６４只眼，术后浅前房９只眼，占１４．１％，巩膜咬切术３１只眼，术后浅前房７只眼，占２０．６％，虹膜嵌顿术１１只眼，术后无浅前房发生；（２）术前眼压２２～３５ｍｍＨｇ者１７５只眼，小梁切除术１０３只眼，术后浅前房２６只眼，占２５．２％，巩膜咬切术４６只眼，术后浅前房１５只眼，占３２．６％，虹膜嵌顿术２６只眼，术后浅前房５只眼，占１９．２％；（３）术前眼压＞３５ｍｍＨｇ者１０６只眼，小梁切除术４２只眼，术后浅前房１３只眼，占３１％，巩膜咬切术２３只眼，术后浅前房５只眼，占２１．７％，虹膜嵌顿术４１只眼，术后浅前房５只眼，占１２．２％．结论３种抗青光眼手术中，虹膜嵌顿术后浅前房发生率低；术前眼压控制正常后，术后浅前房发生率低。
Objective To explore the cases of plateau anterior chamber(PAC) after trabeculectomy,slerectoiridectomy and iridencleisis.Method 390 eyes with glaucoma treated with three kinds of anti glaucoma operations were reviewed retrospectively.Results (1)In the group (109 eyes) with preoperative intraocular pressure(PIOP)≤21mmHg,sixty four eyes were treated with trabeculectomy,and 31 eyes with slerectoiridectomy of which there were 9(14.1%) and 7(20.6%) eyes had undergone PAC respectively.There was no PAC in 11 eyes treated with iridencleisis;(2)In the group(175 eyes)with PIOP from 22 to 35 mmHg,there were 26 eyes(25.2%) and 15 eyes(32.6%) developing PAC of 103 eyes treated with trabeculectomy,and 46 eyes with slerectoiridectomy respectively,of 26 eyes with iridencleisis,there were 5 eyes(19.2%) developing PAC;(3)In the group(106 eyes)with PIOP>35mmHg,there were 13 eyes(31%) developing PAC of 23 eyes with trabeculectomy,5 eyes(21.7%) developing PAC of 23 eyes with slerectoiridectomy.There were 5 eyes(12.2%) developing PAC of 41 eyes with iridencleisis.Conclusion Iridencleisis has lower PAC incidence;PAC incidence is lower in group with PIOP≤21mmHg.
出处
《眼科新进展》
CAS
1999年第4期242-243,共2页
Recent Advances in Ophthalmology
关键词
青光眼
小梁切除术
浅前房
眼压
anti glaucoma operation
plateau anterior chamber
intraocular pressure
