论文部分内容阅读
目的探讨青光眼小梁切除术后浅前房的发生原因及处理方法。方法对青光眼小梁切除术182例195眼发生浅前房患者的临床资料进行回顾性分析。结果全组182例195眼小梁切除术后发生浅前房24眼(12.3%)。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前房逐渐形成,随访3～30个月,眼压均控制良好,无严重并发症发生。结论小梁切除术降压效果肯定,但浅前房发生率较高,术前应注意控制眼压,减轻炎症反应,手术操作准确可减轻浅前房的发生。
Objective To investigate the causes and treatment of shallow anterior chamber after glaucoma trabeculectomy. Methods A retrospective analysis was performed on the clinical data of 182 cases of shallow anterior chamber in 182 cases of glaucoma trabeculectomy. Results A total of 182 eyes (195 eyes) had shallow anterior chamber (24 eyes) (12.3%) after trabeculectomy. Shallow anterior chamber is mainly due to preoperative intraocular hypertension and ocular inflammatory response. After conservative or surgical treatment, were anterior chamber after 7 ~ 15d gradually formed, followed up for 3 to 30 months, IOP are well controlled, no serious complications. Conclusions The effect of trabeculectomy in reducing blood pressure is positive, but the incidence of shallow anterior chamber is high. Preoperative intraocular pressure should be controlled to reduce the inflammatory reaction. Accurate surgical operation can reduce the occurrence of shallow anterior chamber.