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目的 探讨青光眼滤过性手术后浅前房的病因,预防及处理。方法 随机选择100例140只眼青光眼滤过性手术后患者每日裂隙灯检查。结果 本组浅前房35只眼发生率25％,其中脉络膜脱离17只眼占48.5％,引流通畅15只眼占43.8％,恶性青光眼3只眼占8.5％。本组浅前房大多数经保守治疗痊愈,其中2例行2次手术,1例行眼球摘除。结论 青光眼术后浅前房不能完全预防,但可减少其发生,其发生原因与术前眼压控制不理想,术前浅前房,手术结束时前房形成不良、有密切关系。
Objective To investigate the etiology, prevention and treatment of shallow anterior chamber after glaucoma filtration surgery. Methods One hundred and seventy patients with glaucoma were randomly selected and examined by daily slit lamp examination. Results The incidence of 35 eyes in the shallow anterior chamber was 25%. Among them, 17 eyes (48.5%) were choroidal detachment, 15 eyes (43.8%) and 3 eyes (8.5%) were malignant glaucoma. This group of shallow anterior chamber mostly cured by conservative treatment, of which 2 cases of 2 operations, 1 case of enucleation. Conclusions The shallow anterior chamber after glaucoma surgery can not be completely prevented, but it can be reduced. The causes are not controlled by preoperative intraocular pressure. The anterior chamber is shallow, the anterior chamber is poorly formed at the end of the operation, and there is a close relationship.