青光眼小梁切除术后浅前房的原因及处理

Causes and Management of shallow anterior chamber after trabeculectomy

目的探讨青光眼小梁切除术后浅前房形成的常见原因及处理方法。方法回顾我院2008年11月至2011年8月55例(58只眼)抗青光眼小梁切除术后发生浅前房的的临床资料。结果共有16例(17只眼)青光眼术后发生浅前房,发生率29.31%,浅前房按程度分:Ⅰ级9只眼,Ⅱ级6只眼,Ⅲ级2只眼。其中房水滤过过强13只眼(76.47%),脉络膜脱离2只眼(11.76%),结膜漏2只眼(11.76%),2只眼给予前房成形,1只眼结膜瓣手术修复,其余通过非手术治疗恢复前房。结论青光眼小梁切除术后浅前房发生率高,应早期诊断及时处理。

Objective To investigate the causes and management of shallow anterior chamber after trabeculectomy.Methods Retrospective analysis of different glaucoma received trabeculectomy from November 2008 to August 2011 in the department of ophthalmology of our hospital.Results The shallow anterior chamber took place in 16 cases（17eyes）.The rate of shallow anterior chamber was 29.31% in this study.According to the degree of shallow anterior chamber,the results have revealed as following.Ⅰ degree,9 eyes,Ⅱ degree,6 eyes,Ⅲ degree,2 eyes.In our studies,there were 13 eyes with high filtration of aqueous humor,2 eyes with choroidal detachment,2 eyes with conjunctive leaking.The following measures were used to treat shallow anterior chamber including two eyes with forming of anterior chamber,one eye with conjunctival flap repair operation,and the others treating with non-surgery method.Conclusion The rate of shallow anterior chamber after trabeculectomy was very high.Early diagnosis and management should be doned.