青光眼小梁切除后浅前房的临床分析

Clinical analysis of shallow anterior chamber after trabeculectomy for glaucoma

目的:分析青光眼小梁切除后浅前房发生的原因及处理方法。方法:106例(116眼)青光眼患者行小梁切除术,术后观察浅前房的发生并予相应处理。结果:116眼中,术后10眼发生浅前房,占8.6%,滤过道引流过畅,缝线松脱、房水渗漏,恶性青光眼是术后浅前房发生的主要原因。术后对并发症相应处理后,10眼发生浅前房均恢复正常。结论:小梁切除术对术前、术后有效地控制眼压,术中保持前房深度,注意伤口缝线的松紧,术后观察眼压及前房的变化,及时对症处理,取得较好效果。

AIM： To analyze the cause and treatment of shallow anterior chamber after trabeculectomy for glaucoma. METHODS： A total of 106 cases （116 eyes） with glaucoma underwent trabeculectomy, and the postoperative shallow anterior chamber was observed and treated. RESULTS： Shallow anterior chamber occurred in 10 eyes （8.6%）. The main causes included excessive smooth of drainage, looseness of stitches, excessive aqueous humor filtration and malignant glaucoma. After proper treatment all the 10 eyes recovered to normal level. CONCLUSION： Proper controlling intraocular pressure （IOP） before and after surgery, keeping depth of anterior chamber, noticing the tightness of stitches, observing IOP changes and timely treabnent are effective methods in treating shallow anterior chamber.