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小梁切除术由Cairns 于1968年首创治疗原发性青光眼,现已广泛应用,并用于部分继发性青光眼。此手术具有疗效高、适应症广、并发症少等优点,但也有一些并发症,以前房恢复延缓较多见。一般术后前房应在1～2天之内恢复正常如5天之后前房仍浅(轴深小于1ck)或没有前房可认为有前房延缓形成。多数作者认为其原因为小梁切除过大导致滤过过强,结膜瓣破裂,睫状体和脉络膜脱离,瞳孔阻滞和睫状环阻塞等。我们对我院近年来施行的247眼小梁切除大小与前房延缓形成的关系进行了统计分析,报告如下。
Trabeculectomy pioneered by Cairns in 1968 for the treatment of primary glaucoma has been widely used, and for some secondary glaucoma. This operation has the advantages of high efficacy, wide indications, fewer complications, but there are also some complications, delayed recovery of anterior chamber more common. General postoperative anterior chamber should be returned to normal within 1 to 2 days, such as 5 days after the anterior chamber is still shallow (axial depth less than 1ck) or without anterior chamber may be considered anterior chamber delayed formation. Most authors believe that the reason for excessive trabeculectomy leading to excessive filtration, conjunctival flap rupture, ciliary body and choroidal detachment, pupillary block and ciliary ring obstruction. We carried out in our hospital in recent years, 247 trabeculectomy size and the relationship between the formation of anterior chamber delayed the statistical analysis, the report is as follows.