青光眼术后浅前房原因及治疗

Cause and Management of Shallow Anterior Chamber after Glaucoma Surgery

目的探讨青光眼小梁切除术后浅前房形成的原因与处理方法,分析浅前房形成与术后结膜伤口渗漏、滤过过强及脉络膜脱离的关系。方法回顾性分析行青光眼小梁切除术后136例(142眼)发生浅前房的情况。结果发生浅前房36眼(25.35%),其中,术后滤过过强25眼(69.44%),结膜瓣渗漏6眼(16.67%),脉络膜脱离4眼(11.11%),恶性青光眼1眼(2.78%)。结论青光眼小梁切除术后浅前房与多种因素有关,以滤过过强者为最主要的原因。

Objective To investigate the causes and management of shallow anterior chamber after glaucoma trabeculectomy. Methods Postoperative shallow anterior chamber was analyzed in136 cases（ 142 eyes）. Results In 142 eyes, 36 eyes（25.35% ）developed shallow anterior chamber after glaucoma trabeculectomy, in which 25 eyes （ 69.44% ） showed excessive titration, 6 eyes （ 16.67% ）, filter bleb leaks, 4 eyes （ 11.11% ）, choroidal detachment, and 1 eyes （2.78%）, malignant glaucoma. Conclusion Shallow anterior chamber resulting from various factors was mainly caused by excessive titration.