青光眼小梁切除术后浅前房形成的原因及治疗

Causes and Treatment of Shallow Anterior Chamber After Glaucoma Trabeculectomy

目的探讨青光眼小梁切除术后浅前房形成的原因及治疗方法。方法回顾分析2010年1月—2016年12月至我院行小梁切除术,且术后发生浅前房的青光眼患者共40例,其中保守治疗38例,手术治疗2例,记录患者浅前房发生的时间、类型及疗效。结果青光眼术后发生浅前房的时间多在术后1~7天;Ⅰ度浅前房23例(57.5%),Ⅱ度浅前房15例(37.5%),Ⅲ度浅前房2例(5%)。结论青光眼小梁切除术后浅前房发生率高,其最常见的原因是房水滤过过强,且与结膜瓣漏、脉络膜睫状体脱离有关,大多数浅前房可通过保守治疗恢复,严重者需采取手术干预。

Objective To investigate the causes and treatment of shallow anterior chamber after trabeculectomy. Methods A retrospective analysis of 40 cases of glaucoma with shallow anterior chamber by trabeculectomy from January 2010 to December 2016 in our hospital was performed, among them, 38 cases were conservative treatment, 2 cases were treated by operation, the time, type and curative effect of superficial anterior chamber were recorded. Results The time of shallow anterior chamber occurred more than 1 to 7 days after glaucoma surgery; I degree shallow anterior chamber in 23 cases（57.5%）, II degree shallow anterior chamber in 15 cases（37.5%）, III degree shallow anterior chamber in 2 cases（5%）. Conclusion Glaucoma shallow anterior chamber after trabeculectomy has high incidence, the most common reason is the real water filtration is too strong, and the choroid and ciliary body detachment associated with conjunctival flap leakage, and most of the shallow anterior chamber can be restored through conservative treatment, severe surgical intervention.