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目的:分析与探讨青光眼滤过术中前房充盈困难的原因及早期干预施行透明质酸钠凝胶前房成形术的治疗和疗效。方法:对10例青光眼滤过术中前房充盈困难的病例施行透明质酸钠凝胶前房成形术,即整个手术为青光眼小梁切除+丝列霉素+虹膜周切术+透明质酸钠凝胶前房成形术。结果:10例青光眼滤过术后眼压控制正常,前房加深,视功能无恶化,未发生恶性青光眼。结论:青光眼滤术中前房充盈困难的原因主要有二:一是滤过太强,二是恶性青光眼的前期表现。早期干预透明质酸钠凝胶前房成形术对青光眼滤过术后浅前房有极大的治疗和预防作用。
OBJECTIVE: To analyze and discuss the causes of dysfunction of anterior chamber in glaucoma filtration surgery and the therapeutic and therapeutic effects of sodium hyaluronate gel anterior chamber at early intervention. Methods: 10 cases of glaucoma filtration surgery in the anterior chamber filling difficult cases of hyaluronate gel anterior chamber angioplasty, the entire operation for glaucoma trabeculectomy + serotonin + iridotomy + hyaluronic acid Sodium gel anterior chamber angioplasty. Results: The control of intraocular pressure in 10 cases of glaucoma filtration was normal, the anterior chamber deepened, the visual function did not deteriorate, and no malignant glaucoma occurred. Conclusions: There are two main reasons for the difficulty of filling the anterior chamber in glaucoma filtration: one is too strong filtration and the other is the early manifestation of malignant glaucoma. Early intervention hyaluronate gel anterior chamber angioplasty glaucoma filtering shallow anterior chamber there is a great treatment and prevention.