摘要
目的探讨抗青光眼术后低眼压性浅前房发生的相关因素及处理方法。方法回顾性总结我院315例行小梁切除术和39例行虹膜嵌顿术的青光眼患者术后低眼压性浅前房的发生率,并分析术前眼压,手术方式,术后结膜伤口渗漏,滤过过强及脉络膜脱离等与术后低眼压性浅前房的关系。结果发生低眼压性浅前房68眼(16.31%)。术前眼压≤21mmHg者201眼中发生低眼压性浅前房16眼(7.96%);其中小梁切除术185眼,发生低眼压性浅前房16眼(8.65%),虹膜嵌顿术16眼,无低眼压性浅前房发生。术前眼压22～30mmHg者126眼中发生低眼压性浅前房28眼(22.22%);其中小梁切除术114眼,发生低眼压性浅前房27眼(23.68%),虹膜嵌顿术12眼,发生低眼压性浅前房1眼(8.33%)。术前眼压31～40mmHg者72眼中发生低眼压性浅前房26眼(36.11%);其中小梁切除术65眼,发生低眼压性浅前房25眼(38.46%),虹膜嵌顿术7眼,发生低眼压性浅前房1眼(14.29%)。术前眼压>40mmHg者18眼中发生低眼压性浅前房8眼(44.44%);其中小梁切除术14眼,发生低眼压性浅前房7眼(50%)虹膜嵌顿术4眼,发生低眼压性浅前房1眼(25%)。术后结膜伤口渗漏11眼(16.18%),滤过过强38眼(55.88%),脉络膜脱离7眼(10.29%),另有原因不明者12眼。结论抗青光眼术后低眼压性浅前房与多种因素有关。①术前眼压越高,发生率越高;②虹膜嵌顿术较小梁切除术发生率低;③滤过过强者发生率最高。
Objective To explore the correlative factor and treatment of postoperative the low-tension shallow anterior chamber. Methods Retrospectively the incidence of the postoperative low-tension shallow anterior chamber in 315 patients with trabeculectomy and 39 patients with iridencleisis, the relationship of the postoperative low-tension shallow anterior chamber with the preoperative intraocular pre, ssure, surgical method, leakage of conjunctive incision, strong filtration and detachment of chnorioid postoperatively were analyzed. Results All of the postoperative low-tension shallow anterior chambers occurred in 68 eyes （ 16.13% ）16 eyes had low-tension shallow anterior chamber of 201 eyes with equal or below 21 mmHg preoperative intraocular pressure, in which 16 of 185 eyes （8.65%） with trabeculectomy occurred and 0 in 16 eyes （0.00%） whit iridencleisis occurred. 28 of 126 eyes （22.22%） with preoperative intraocular pressure of 22-30 mmHg occurred, in which 27 of 114 eyes （23.68%） whit trabeculectomy occurred and 1 of 12 eyes （8.33 % ） whit iridencleisis occurred. 26 of 72 eyes （36.11% ） with preoperative intraocular pressure of 31-40 mmHg occurred, in which 25 of 65 eyes （38.46%） whit trabeculectomy occurred and 1 of 7 eyes （ 14.29% ） whit iridencleisis occurred. 8 of 18 eyes （44.44%） with over 40 mmHg preoperative intraocular pressure occurred, in which 7 of 14 eyes （50.00%） whit trabeculectomy occurred and 1 of 4 eyes （25.00%） whit iridencleisis occurred. 11 eyes （16. 18% ） were because of conjunctive leakage postoperatively. 38 eyes （55.88%） were because of much more filtering. 7 eyes （ 10.29% ） were because of the detachment of chorioid. The other 12 eyes had no obvious causes. Conclusion Shallow anterior chamber after anti-gluacoma surgery had a relationship to many kinds of factors. ① Higher incidence of the low-tension shallow anterior chamber with higher preoperative intraocular pressure. ② Lower incidence with the iridencleisis than trabeculectomy. ③Strong filtration had the highest rate.
出处
《山东大学耳鼻喉眼学报》
CAS
2010年第1期51-53,共3页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
抗青光眼手术
低眼压性浅前房
相关因素
治疗
Anti-glaucoma surgery
Postoperative low-tension shallow anterior chamber
Relative factor
Treatment
