青光眼小梁切除术后浅前房形成的原因及处理

Causes and treatment of shallow anterior chamber after trabeculectomy on glaucoma

摘要:

目的:探讨青光眼小梁切除术后浅前房形成的原因及处理。方法:对96例128眼青光眼小梁切除术后浅前房者26眼进行回顾分析。结果:128眼小梁切除术后有26眼发生浅前房,发生率为20.3%。浅前房原因主要为滤过过畅19眼(73.1%),结膜瓣渗漏4眼(15.4%),脉络膜脱离2眼(7.7%)和恶性青光眼1眼(3.8%),采用保守治疗和/或手术治疗后前房均形成。结论:青光眼术后浅前房是一种常见并发症,针对其发生原因采取相应的处理可以预防或避免浅前房的发生。

Abstract:

AIM:To analyze the causes and treatment of shallow anterior chamber after trabeculectomy on glaucoma.METHODS:A total of 96 case 128 eyes with glaucoma were treated with trabeculectomy and postoperatively shallow anterior chamber was found.All cases were analyzed retrospectively.RESULTS:Shallow anterior chamber was found in 26 eyes(20.3%)after trabeculectomy in 128 eyes.The causes included :excessive aqueous humor run off(19/26,73.1%),leakage of filter bulb(4/26,15.4%),detachment of choroid(2/26,7.7%),malignant glaucoma(1/26,3.8%).After proper management,shallow anterior chamber returned to normal depth in all cases.CONCLUSION:Shallow anterior chamber is usually found after trabeculectomy.It is necessary to adopt corresponding treatment according to its causes for avoiding the shallow anterior chamber.