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目的分析青光眼术后浅前房发生的原因及处理方法。方法198例(239只眼)青光眼患者行小梁切除术,术后观察浅前房的发生并及时给予相应处理,对其病历进行回顾性分析。结果239只眼中,术后有30只眼发生浅前房(12.55%)。高滤过(造瘘口过大,引流过畅),低眼压(缝线松脱,房水渗漏),房水动力学改变,脉络膜脱离及恶性青光眼是术后浅前房发生的主要原因。经过对症处理后,除一眼由浅Ⅲ变为浅Ⅰ外,其余29只眼前房均恢复正常。结论术前、术中有效控制眼压,细心操作,可减少浅前房的发生。术后密切观察前房及眼压的变化,及时对症处理,有利于前房的恢复。
Objective To analyze the causes and treatment of shallow anterior chamber after glaucoma surgery. Methods A total of 198 patients (239 eyes) with glaucoma underwent trabeculectomy. The incidence of the anterior chamber was observed and treated in time. The medical records were retrospectively analyzed. Results In 239 eyes, 30 eyes had shallow anterior chamber (12.55%). High filtration (fistula is too large, drainage through), low intraocular pressure (suture detachment, aqueous leakage), hydrodynamic changes, choroidal detachment and malignant glaucoma is the main postoperative shallow anterior chamber occurred the reason. After symptomatic treatment, except for a change from shallow Ⅲ to shallow Ⅰ, the other 29 eyes anterior chamber returned to normal. Conclusion Preoperative and intraoperative effective control of intraocular pressure, careful operation, can reduce the incidence of shallow anterior chamber. Close observation of anterior chamber and intraocular pressure changes, timely symptomatic treatment, is conducive to the recovery of the anterior chamber.