中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
1期
50-52
,共3页
丁颖%王国强%巨朝娟%宋耕
丁穎%王國彊%巨朝娟%宋耕
정영%왕국강%거조연%송경
青光眼滤过手术%浅前房%相关因素%治疗
青光眼濾過手術%淺前房%相關因素%治療
청광안려과수술%천전방%상관인소%치료
glaucoma filtration surgery%shallow anterior chamber%related factors%treatment
目的 探讨青光眼滤过术后浅前房发生原因及处理方法.方法 回顾性总结各类青光眼的抗青光眼手术178例(266眼),术后发生浅前房46眼,进行原因分析及治疗效果观察统计.结果 本组发生浅前房46眼(17.29%).浅前房的发生主要与术前的高眼压、眼部炎症反应以及术后的结膜渗漏、滤过过强、脉络膜脱离有关.结论 青光眼滤过术后浅前房与多种因素有关,注意术前降眼压,减轻炎症反应,术中操作细致,可降低浅前房的发生.
目的 探討青光眼濾過術後淺前房髮生原因及處理方法.方法 迴顧性總結各類青光眼的抗青光眼手術178例(266眼),術後髮生淺前房46眼,進行原因分析及治療效果觀察統計.結果 本組髮生淺前房46眼(17.29%).淺前房的髮生主要與術前的高眼壓、眼部炎癥反應以及術後的結膜滲漏、濾過過彊、脈絡膜脫離有關.結論 青光眼濾過術後淺前房與多種因素有關,註意術前降眼壓,減輕炎癥反應,術中操作細緻,可降低淺前房的髮生.
목적 탐토청광안려과술후천전방발생원인급처리방법.방법 회고성총결각류청광안적항청광안수술178례(266안),술후발생천전방46안,진행원인분석급치료효과관찰통계.결과 본조발생천전방46안(17.29%).천전방적발생주요여술전적고안압、안부염증반응이급술후적결막삼루、려과과강、맥락막탈리유관.결론 청광안려과술후천전방여다충인소유관,주의술전강안압,감경염증반응,술중조작세치,가강저천전방적발생.
Objective To investigate the causes and management of shallow anterior chamber after trabeculectomy. Methods 178 cases (266 eyes) of different glaucoma received trabeculectomy. Shallow anterior chamber took place in 46 eyes. The causes and treatment results were studied. Results The rate of shallow anterior chamber after trabectlectomy was 17.29% in this study. The main causes of shallow anterior chamber were preoperative high intraocular pressure, inflammation, conjunctiva leaking and choroidal detachment. Conclusion shallow anterior chamber after trabeculectomy may be related to many causes. Control of preoperative intraocular pressure and inflammation could decrease this complication.