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目的为探讨抗青光眼小梁切除术后浅前房的预防。方法对42例49眼原发性青光跟随机分两组，治疗组对例25眼采用小梁切除术巩膜瓣调整缝线，术后分别对前房、眼压、滤过强弱情况进行观察。结果浅前房发生率，治疗组4％、对照组29．17％，P＜0．05。低眼压发生率，治疗组40、对照组25％，P＜0．05。Ⅰ型滤过泪比率，治疗组120、对照组37．5％，P＜0．05。两组术后浅前房、低眼压发生率及Ⅰ型滤过泡比率有显著性差异。结论术中应用巩膜瓣调整缝线可预防术后浅前房发生，减少低眼压等并发症。
Objective To investigate the prevention of shallow anterior chamber after anti-glaucoma trabeculectomy. Methods Forty-nine eyes with primary glaucoma were divided into two groups. In the treatment group, 25 eyes were treated with scleral flap trabeculectomy to adjust suture. The anterior chamber, intraocular pressure and filtration intensity were evaluated respectively Observed. Results The incidence of shallow anterior chamber was 4% in treatment group and 29.17% in control group, P <0.05. The incidence of hypotension, the treatment group 40, control group 25%, P <0.05. Type I filtration tear ratio, the treatment group 120, the control group 37.5%, P <0.05. There was a significant difference between the two groups in the incidence of shallow anterior chamber and intraocular pressure and type Ⅰ bleb. Conclusion Intraoperative scleral flap adjustment suture can prevent postoperative shallow anterior chamber and reduce complications such as low intraocular pressure.