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.