青光眼小梁切除术后并发症临床分析

目的探讨小梁切除术后早期并发症的发生原因、治疗方法及效果。方法青光眼小梁切除术47例（52眼）。术中前房穿刺维持安全眼压，并采用巩膜瓣调整缝线控制术后浅前房，获得功能型滤过泡和理想的眼压控制。结果小梁切除术后早期并发症的发生率为44．23％（23／52）；其中浅前房12眼，虹膜睫状体炎5眼，前房积血2眼，脉络膜脱离1眼，结膜渗漏1眼。对其中22眼采取保守治疗，治愈19眼。结论小梁切除术后早期并发症的保守治疗效果显著。明确青光眼小梁切除术后常见并发症的原因，采取有效的措施积极处理，可降低手术风险，减少术后并发症。

Clinical analysis of complications after trabeculectomy on glaucoma

Objective To study the causes, treatments and effects of concurrent symptoms of early postoperative trabeculectomy. Methods 47 cases (52 eyes) of glaucoma received trabeculectomy in the hospital during July,2007～November,2009. In order to obtain the ideal functional filtering bleb and intraocular pressure control, the anterior chamber puncture was used to maintain a safe intraocular pressure and adjust suture was used to control the shallow anterior chamber. Results The concurrent symptoms incidence of early postoperative trabeculectomy is 44. 23% ,with shallow anterior chamber in 12 eyes,iridocyclitis in 5 eyes,hyphema 2 eyes,choroidal detachment 1 eye,conjunctiva leakage 1 eye. 22 out of 23 eyes of early postoperative complications received conservative treatment, of which 19 eyes were cured, accounting for 82. 61 % . Conclusion The conservative treatments have significant effects on concurrent symptoms of early postoperative trabeculectomy. Defining the causes of concurrent symptoms of early postoperative trabeculectomy and taking effective measures to deal with it can reduce the risk of surgery and the occurrence of postoperative complications.