论文部分内容阅读
目的 :分析青光眼患者于抗青光眼手术后发生浅前房的原因 ,以减少术后浅前房的发生。方法 :2 4 6例 (2 80只眼 )青光眼患者行巩膜下咬切术及虹膜切除术。对其病历进行分析。结果 :2 80只眼中 ,手术后 2 9只眼 (10 36 % )发生浅前房。经分析其原因有 :1)造瘘口过大 ,引流过畅 (8/ 2 9只眼 ,2 7 6 % ) ;2 )结膜瓣缝线过松 ,致房水渗漏 (5 / 2 9,17 2 % ) ;3)脉络膜脱离 (4/ 2 9,13 8% ) ;4 )恶性青光眼 (2 / 2 9,6 9% ) ;5 )虹膜睫状体炎 (1/ 2 9,3 4 % ) ;6 )原因不明 (9/ 2 9,31 0 % )。经对症治疗后 ,前房均恢复正常。结论 :对不同类型青光眼患者 ,术前应予以适当治疗 ,术中细心操作 ,术后密切观察并予以对症处理 ,可减少术后浅前房的发生
Objective: To analyze the causes of glaucoma in patients with shallow anterior chamber after glaucoma surgery to reduce the incidence of postoperative shallow anterior chamber. Methods: 246 cases (280 eyes) of glaucoma patients underwent sclerectomy and iridotomy. The medical records were analyzed. Results: Among 280 eyes, shallow anterior chamber occurred in 29 eyes (10 36%) after operation. The analysis of the reasons are: 1) fistula is too large, drainage is smooth (8/29 eyes, 276%); 2) conjunctival flap suture is too loose, resulting in aqueous leakage (5/2 9 , 17.2%); 3) Choroidal detachment (4 / 29,138%); 4) Malignant glaucoma (2 / 29,69% 4%); 6) unknown reason (9 / 29,31 0%). After symptomatic treatment, anterior chamber returned to normal. Conclusion: For different types of glaucoma, preoperative should be properly treated, careful operation, postoperative close observation and symptomatic treatment, can reduce the incidence of postoperative shallow anterior chamber