青光眼小梁切除术后浅前房原由及治疗.pdfVIP

·46· 堕垫堡堑盘查堂主曼旦 笙型鲞．笠!Q塑 青光眼小梁切除术后浅前房原因及治疗 马红 商丘市第一人民医院眼科商丘市476100 摘要 目的 探讨青光眼小梁切除术后浅前房的原因，掌握处理浅前房的时机。方法 对147例179 眼青光眼患者，就青光眼小梁切除术后浅前房的发生程度及眼数给予相应的治疗。结果179眼发生浅前房47 眼，占26．3％。结论术后浅前房是一种常见的并发症，结膜渗漏、引流过畅、脉络膜脱离、睫状环阻塞性青光 眼是小梁切除术后浅前房的主要原因。手术结束时前房重建、术后及时治疗浅前房是关键。 关键词 青光眼 浅前房 小梁切除 中图分类号：R775文献标识码：B 文章编号：1672-3422(2006)10旬046m2 TreatmentofShaUowAnteriorChamber Causeand after onGlaucoma Trabeculectomy MA Hong 476100，C^ino —脚口心，，le凡￡矿6p矗t^口Z，，}oZogy，5危n，增gi酩Firs￡Pe叩如i点b印ifoZ，Js^Ⅱ，御iu ABSTRACT 7ro thecauseofshallowanteriorchamberaftertrabeculecto— objectiVeexplore anddete珊inewhenandhowtodealwithshallowanteriorchamber．Methods179 of147 my eyes whohadsufferedf而m underwent numberof andtheextentof cases glaucoma trabeculectomy。Theeyes There 47 with shallowanteriorchamberwereobservedandtreated were coⅡespondentlv．Resu玎seyes shallowanterior 179 t}le is26．3％．OVernuent chamber锄ongeyes，andpercentage of humor detachmentand arethemaincausesshallowanterior leaking，chomidal malignantdaucoma chamberafter reconstmctionand arecmcial tmbculectomy．Carefu】opemtiongood timelymanagement decreasethe shallowanteriorchambercannotbe to eomplications．ConclusiOn fullyprev