前房注BSS和粘弹剂预防青光眼小梁切除术后浅前房比较

To compare with injection BSS and viscoelastic agent in anterior chamber prevent shallow anterior chamber after glaucoma trabeculectomy

目的 探讨前房注 BSS和粘弹剂预防青光眼小梁切除术后浅前房的临床效果。方法 观察组 2 8例(31只眼 )急性闭角型青光眼 ,在小梁切除手术结束时前房注 BSS形成正常前房。对照组 2 8例 (34只眼 )急性闭角型青光眼 ,在手术结束时前房注粘弹剂形成正常前房。结果 观察组术后浅前房 3只眼 ,占 9.7% ;对照组术后浅前房 3只眼 ,占 8.8%。卡方检验 ,P >0 .0 5 ,两组无显著性差异。观察组术后无高眼压 ,对照组术后 5只眼高眼压 ,卡方检验 ,P <0 .0 5 ,两组有显著性差异。结论 青光眼小梁切除结束时 ,前房注 BSS和粘弹剂 ,均能预防术后浅前房发生 ,效果相近 ;但前房注 BSS方法安全 ,不需特殊材料。

Objective To study injection BSS and viscoelastic agent in anterior chamber prevent shallow anterior chamber after glaucoma trabeculectomy.Methods The observation group 28 examples 31 eyes acute angle-cloare glaucoma,as trabeculectomy end,injection BSS forn normal anterior chamber.The contrast group 28 examples 34 eyes acute angle-cloure glaucoma,as trabeculectomy end,injection viscoelastic agent form normal anterior chamber.Results The observation group shallow anterior chamber 3 eyes (9.7%) after trabeculectomy,the contrast group shallow anterior chamber 3 eyes (8.8%),chi-square test,P>0 05,no significance difference between two groups.The observation group no hypertension,there was 5 eyes hypertension in the contrast group,chi-square test,P<0.05,there was significance difference between two groups.Conclusion As glaucoma trabeculectomy end,injection BSS and viscoelastic agent in anterior chamber,could prevent shallow anterior chamber after trabeculectomy,there was similar effect.But injection BSS in anterior chamber,method safety,needn't special material