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目的 :探索青光眼手术后浅前房的发生原因及粘弹性物质在治疗顽固性前房不形成的效果。方法 :回顾分析青光眼手术患者6 4例 81眼发生浅前房的比率、发生时间、类型及处理方法 ,分析不同青光眼类型和手术方式对术后浅前房的影响。结果 :青光眼术后浅前房 43眼占 5 3.1%。闭角型青光眼术后发生率较高 (占 40 .7% ) ,青光眼滤过手术后易引起浅前房。浅前房发生在术后 1~ 7天 ,房水滤过过强占 5 3.5 % ,脉络膜剥离占 14.0 % ,伤口渗漏占 9.3%。 1眼行结膜瓣修复 ,1眼通过脉络膜上腔放液得以恢复。 6眼因顽固性前房不形成行前房注入透明酸钠 ,其余均保守治疗。结论 :青光眼滤过手术后浅前房发生率高 ,其最常见的原因是房水滤过过强。大多数浅前房通过非手术治疗 ,透明质酸钠注入前房治疗顽固性前房不形成效果良好
Objective: To explore the causes of shallow anterior chamber after glaucoma surgery and the effect of viscoelastic material in the treatment of intractable anterior chamber. Methods: A retrospective analysis of 64 cases of glaucoma surgery in 81 patients had shallow anterior chamber ratio, time, type and treatment methods, analysis of different glaucoma types and surgical methods on the postoperative shallow anterior chamber. Results: 43 cases of shallow anterior chamber after glaucoma accounted for 5 3.1%. The incidence of angle-closure glaucoma was higher (40.7%), and glaucoma was easily caused by shallow anterior chamber filtration. Shallow anterior chamber occurred in 1 to 7 days after surgery, aqueous humor overshadowed 53.5%, choroidal stripping 14.0%, wound leakage accounted for 9.3%. 1 eye conjunctival flap repair, 1 eye through the choroidal lumen to be restored. 6 eyes due to intractable anterior chamber formation of anterior chamber injection of sodium hyaluronate, the rest are conservative treatment. Conclusions: The incidence of shallow anterior chamber after glaucoma filtration surgery is high, and the most common cause is filtration of aqueous humor. Most of the shallow anterior chamber through non-surgical treatment, sodium hyaluronate into the anterior chamber treatment of intractable anterior chamber does not form a good effect