复合小梁切除术后浅前房的临床分析

The Clinical Analysis of Shallow Anterior Chamber after Complex Trabeculectomy Surgery

:86-88(转102)
 
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.


其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
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