青光眼滤过性手术后脉络膜脱离的临床观察

Clinical study of choroidal detachment after glaucoma filtering surgery

目的：探讨抗青光眼滤过性手术后出现脉络膜脱离的相关因素及治疗措施,总结临床特点。方法：对457眼青光眼滤过性手术后发生脉络膜脱离的42眼患者进行回顾性分析和总结。结果：脉络膜脱离发生时间为术后3～7（平均4.51±1.14）d,患者的平均年龄为65.30±3.50岁。通过皮质类固醇类药物、散瞳、高渗剂等治疗,42眼脉络膜脱离全部恢复。治疗所需时间平均为16.50±2.75d。结论：脉络膜脱离是青光眼滤过性手术后的一个常见并发症,与术前眼压控制不好、术后眼压过低、患者年龄偏大及高血压、糖尿病有关。

AIM： To investigate the related factors and treatment of choroidal detachment after glaucoma filtering surgery. METHODS： The clinical data of 42 eyes with choroidal detachment of 457 eyes undergoing glaucoma filtering were retrospectively analyzed. RESULTS： Choroidal detachment occurred at 3-7 days after glaucoma filtering surgery, with mean 4. 51 ± 1.14 days. The patient＇s average age was 65.30± 3.50 years. Chroidal detachment was reformed by corticosteroids medicine mydriatic drugs hypertonic agent and all recovered, within 16.50±2.75 days. CONCLUSION： Chroidal detachment is a common complication of glaucoma filtering surgery. The related factors include high intraocular pressure and eyeball congestion before surgery, postoperative low intraocular pressure, diabetes, hypertension and the aged.