目的:探讨复合小梁切除术后并发浅前房的原因、治疗和预后情况。方法:对在该院行复合小梁切除术的 267 例(302 眼)青光眼患者进行回顾性研究 ,观察术后浅前房的发生原因、治疗、预后情 况。结果:302 眼中有 43 眼出现浅前房(1424%)。 术后滤过过强、滤过口渗漏,脉络膜脱离及睫状环阻滞是浅前房的主要原因,浅前房发生后给予保守或手术治疗,43 眼前房均恢复正常。结论:复合小梁切除术后浅前房是常见的一种并发症。术中控制滤过率,合理应用丝裂霉素可减少浅前房的发生;术后密切观测前房、眼压和滤过情况,及早对浅前房进行干预可明显改善预后。
Purpose: To investigate the clinical cause, therapy and prognosis of shallow anterior chamber after complex trabeculectomy surgery of glaucoma.
Methods: A retrospective study of 267 patients (302 eyes) diagnosed with glaucoma at our hospital was reviewed.Result: Forty-three among 302 eyes presented shallow anterior chamber (14.24%). The main causes of shallow anterior chamber after surgery included excessive filtering function, conjunctival exudation, choroidal detachment and ciliary circle block. These patients recovered after receiving conservative or surgical treatment.Conclusions: The shallow anterior chamber is a frequent complication occurring following complex trabeculectomy surgery. The occurrence of this complication may be decreased by controlling filterableness and moderately applying mitomycin C intraoperatively; the prognosis may be significantly enhanced by detecting main measurements including anterior chamber, intraocular tension, filtration condition, and by interfering in shallow anterior chamber early after complex trabeculectomy surgery.
木村病(Kimura disease,KD)是一种罕见的、病因不明的、可能由免疫介导的慢性进行性炎症性疾病。本文分析1例8岁的男性患者,因左眼无痛性上睑下垂、影像学提示双眼泪腺占位、血象提示嗜酸性粒细胞及免疫球蛋白E(immunoglobulinE,IgE)水平升高、病理提示大量嗜酸性粒细胞浸润,被最终诊断为累及双侧泪腺的KD。行左眼眶肿物切除术后,对患者随访6个月期间未见复发。
Kimura disease (KD) is a rare chronic progressive inflammatory disease of unknown etiology that may be immunemediated. Herein, we analyze an 8-year-old male patient who was diagnosed with painless ptosis in the left eye, double tear glands on imaging, elevated levels of eosinophils and immunoglobulin E (IgE) on blood, and massive eosinophil infiltration on pathology. The final diagnosis was Kimura disease involving bilateral lacrimal glands. After resection of the left orbital tumor, no recurrence was observed in the six months postoperation follow-up