抗青光眼术后浅前房的临床分析

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目的探讨青光眼术后浅或无前房发生的原因、预后及处理。方法在显微镜下行常规青光眼小梁切除术,术后每日裂隙灯显微镜追踪观察青光眼术后患者并辅以直接眼底镜和B超检查。结果术后出现浅或无前房原因包括滤过过强,脉络膜脱离,睫状体脱离,结膜瓣伤口漏及恶性青光眼。结论青光眼术后浅或无前房与术前眼压控制不理想有密切关系。与青光眼手术操作的熟练程度,手术技巧,手术方式与术后浅前房的发生密切相关。与青光眼术式及类型无明显关系。 Objective To investigate the causes, prognosis and treatment of shallow or anterior chamber aneurysms after glaucoma surgery. Methods The routine glaucoma trabeculectomy was performed under the microscope. The patients were followed up by direct slit lamp microscopy and assisted by direct ophthalmoscopy and B ultrasound. Results There were shallow or no anterior chamber postoperative reasons including excessive filtration, choroidal detachment, ciliary body detachment, conjunctival flap wound leakage and malignant glaucoma. Conclusion The postoperative glaucoma with shallow or without anterior chamber and preoperative intraocular pressure control is not closely related. And glaucoma surgery proficiency, surgical skills, surgical procedures and the occurrence of shallow anterior chamber are closely related. And glaucoma surgery type and no significant relationship.
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