前房注气治疗闭角青光眼小梁切除术后浅前房

The treatment for shallow anterior chamber after trabeculectomy in primary angle closure glaucoma by air injection to the anterior chamber

目的探讨应用前房注气术治疗原发性闭角型青光眼小梁切除术后浅前房的效果。方法原发性闭角型青光眼小梁切除术后Ⅱa级及Ⅱb级浅前房101例(118眼)分为2组:保守治疗组50例(60眼),前房注气组51例(58眼),进行回顾性研究,比较两组治疗后视力、眼压、远期滤过泡形态、治疗持续时间、治疗有效率及一次治疗成功率。结果原发性闭角型青光眼小梁切除术后浅前房经保守治疗和前房注气治疗两组治疗后视力、眼压、治疗有效率、远期滤过泡形态比较差异无统计学意义(P>0.05),一次治疗成功率和治疗持续时间差异有统计学意义(P<0.05)。前房注气术一次治疗成功率93.1%,治疗时间短。结论前房注气术是治疗原发性闭角型青光眼小梁切除术后浅前房的简单有效的方法。

Objective To investigate the effect of air injection to the anterior chamber treating shallow anterior chamber after trabeculectomy in primary angle closure glaucoma （PACG）. Methods 101 subjects （118 eyes） with PACG occurred shallow anterior chamber （ Ⅱa, Ⅱ h） ＇after trabeculectomy. They were divided into two groups ： （ 1 ） conservative treatment group included 50 subjects （60 eyes）; （2）air injection treatment group included 51 subjects （58 eyes）. The visual acuity, intraocular pressure （ lOP）, long-term followed bleh eonfiguration, the treating time, effective rate and one time successful rate were compared between the two groups. Results There were no differences in visual acuity, lOP, effective rate, long-term followed bteb configuration （ P 〉 0.05 ）. There were differences in one time successful rate and the treating time （P 〈0.05）. The one time successful rate after air injecting into the anterior chambers was 93.1%. The treating time of it was shorter. Conclusions Air injection to the anterior chamber is a simple and effective method to treat shallow anterior chamber after trabeculectomy in PACG.