原发性闭角型青光眼小梁切除术术后浅前房的原因及处理

Causes and management of postoperative shallow anterior chamber in primary angle-close glaucoma with trabeculectomy

目的探讨原发性闭角型青光眼小梁切除术后浅前房形成的常见原因及相应预防、处理方法。方法总结2005年1月一2006年12月期间我院60例78眼原发性闭角型青光眼(急性闭角型青光眼72眼,慢性闭角型青光眼6眼)常规小梁切除术,术后观察浅前房的发生原因及予以相应处理。结果78眼中,术后发生浅前房42眼,发生率为53.8%。术后对并发症相应处理后均能恢复前房。结论青光眼术后浅前房发生率略高,大多数可保守治疗。

Objective Analyze the causes, prevention and management of postoperative shallow anterior chamber in primary angle-close glaucoma （PACG） with trabeeulectomy. Methods 60 cases （78 eyes） of primary angle-close glaucoma （72 eyes with acute PACG, 6 eyes with chronie PACG） were treated by trabeculectomy from Jan, 2005 to Dee, 2006. The causes, prevention and management of postoperative shallow anterior chamber were analyzed. Results 42 eyes with shallow anterior ehamber occurred postoperatively, with ineidenee of 53.8%. After proper management, all affeeted eyes recovered. Conclusion The ineidenee of postoperative shallow anterior ehamber in glaucoma was relatively high and most of them eould be treated conservatively.