急性闭角型青光眼小梁切除术后浅前房临床分析

目的分析急性闭角型青光眼小梁切除术后浅前房的原因及处理方法。方法对2006年1月至2009年5月就诊于我院的急性闭角型青光眼患者330例422眼行小梁切除术,术中联合应用丝裂霉素C0.4g·L-1。对术后浅前房100例(116眼)进行原因分析及治疗效果观察统计。结果本组330例422眼小梁切除术后眼压均下降,发生浅前房100例116眼。原因:房水滤过过强58眼,结膜瓣渗漏30眼,睫状体脉络膜脱离20眼,恶性青光眼8眼。保守治疗88眼,手术治疗28眼。结论急性闭角型青光眼患者小梁切除术中应用丝裂霉素C后浅前房较常见,大多数浅前房可通过保守治疗治愈。

Clinical Analysis of Shallow Anterior Chamber after Trabeculectomy in 100 Patients with Primary Angle Closed Glaucoma

Objective To analyze the causes and treatment of shallow anterior chamber in 100 patients (116 eyes) with primary angle closed glaucoma after trabeculectomy. Methods 330 cases (422 eyes) with primary angle closed glaucoma,enrolled from January 2006 to May 2009 in our hospital,were underwent trabeculectomy with application of 0.4 g·L-1 mitomycin C once under and above sclera flap dur-ing all filtering surgeries. 100 patients (116 eyes )were found with postoperative shallow anterior chamber. Results The intraocular pressure of all patients were decreased. The incidence of shallow anterior chamber were found 100 patients (116 eyes). The causes were excessive aqueous humor filteration (58 eyes),filter bleb leaks (30 eyes),choroida detachment (20 eyes) ,malignant glaucoma (8 eyes ). Anterior chamber reformed in 8 eyes with surgical procedure and 88 eyes without any surgical procedure. Conclusion The incidence of shallow anterior chamber is high after trabeculetomy with application of mitomycin C in patients with primary angle closed glaucoma. Most of such cases could be reformed through conservation treatment.