白内障超声乳化术后早期浅前房原因及处理

目的：探讨防止超声乳化白内障摘除术后浅前房所引起的眼部损害的方法。方法：对１８例超声乳化白内障摘除术后浅前房的病例进行观察，分析其原因及处理方法，其中１７例为老年性白内障，１例为先天性白内障，术中通过颞侧透明角膜隧道切口行超声乳化白内障摘除及折叠式人工晶体植入术，观察术后前房的深浅、视力及眼压变化。结果：１８例浅前房中，９例为切口漏水。８例为瞳孔阻滞，１例为迟发性脉络膜上腔出血，切口漏水组须再次手

Causes and management of early shallow anterior chamber after phacoemulsification

To search for the methods for prevention of ocular damages resulting from shallow anterior chamber after Phacoemulsification.Methods:Eighteen cases of shallow anterior chamber after phacoemulsification were observed.Seventeen cases were senile cataract patients and one was congenital cataract child.Surgical techniques were temporal clear corneal tunnel incision,phacoemulsification and foldable intraocular lens implantation.The causes and management methods of shallow anterior chamber were analyzed.Results:Shallow anterior chambers were caused by leakage of the incision in 9 cases,by pupillary block in 8 cases,by late suprachoroidal bleeding in 1 case.Suturing of incision was carried out in leakage patients.Medicinal dilation of the pupil and antiinflammatory treatment as well as surgical intervention(only in 1 case)were used for pupillary blocking patients.Conservatory treatment was used for the suprachoidal bleeding patient.Two weeks after the surgery,15 cases(83 3%)obtained visual acuity of 0 5 or better.Conclusion:Prompt management can prevent postoperative shallow anterior chamber from further damaging the eye and assure good visual rehabilitation.