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目的 回顾性分析总结24例青光眼小梁切除术后浅前房的原因及治疗,探讨浅前房的预防措施及最佳治疗方案。方法 先采取保守治疗,即扩瞳,局部及全身应用皮质类固醇,静滴高渗剂,压迫滤过泡等综合治疗;无效时,可采取前房注入空气、林格氏液、粘弹剂及脉络膜上腔放液等手术治疗。结果 24 例24 眼中,20 眼经保守治疗、4眼经手术治疗取得成功,无并发症发生。结论 青光眼滤过术后引起的浅前房多可经保守治疗获得成功,当晶状体前囊与角膜内皮发生接触时,需及时手术治疗。
Objective To retrospectively analyze and summarize the causes and treatment of 24 cases of shallow anterior chamber after trabeculectomy of glaucoma and to discuss the preventive measures and the best treatment plan for them. Methods First, conservative treatment, namely, dilation, topical and systemic corticosteroids, intravenous infusion of hypertonic agent, pressure filtration bleb and other comprehensive treatment; invalid, can be injected into the anterior chamber of air, Ringer’s solution, viscoelastic and Choroidal cavity discharge and other surgical treatment. Results Among 24 eyes of 24 cases, 20 eyes were treated conservatively and 4 eyes achieved successful operation without complications. Conclusions The shallow anterior chamber caused by filtration of glaucoma can be successfully treated by conservative treatment. When the anterior lens capsule contacts the corneal endothelium, timely surgical treatment is required.