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目的探讨青光眼小梁切除术后浅前房形成的原因。方法回顾调查2006年4月至2009年3月我院青光眼患者常规行小梁切除术的临床资料,对发生浅前房的原因及临床处理进行分析。结果 173眼临床资料中,术后发生低眼压性浅前房32眼,发生率18.5%,其中引流过畅24眼(75.0%),结膜瓣渗漏6眼(18.7%),睫状体脉络膜脱离2眼(6.3%)。经保守治疗后前房深度均恢复正常。结论低眼压性浅前房是青光眼小梁切除术后早期的主要并发症,引流过畅是最常见的原因。
Objective To investigate the causes of shallow anterior chamber after trabeculectomy in glaucoma. Methods The clinical data of trabeculectomy in our hospital from April 2006 to March 2009 were retrospectively reviewed. The causes and clinical management of the shallow anterior chamber were analyzed. Results In 173 eyes, there were 32 eyes of shallow anterior chamber with the incidence of 18.5%, including 24 eyes (75.0%) with drainage, 6 eyes (18.7%) with conjunctival flap leakage, ciliary body Choroidal detachment in 2 eyes (6.3%). After conservative treatment of anterior chamber depth returned to normal. Conclusions Low intraocular pressure shallow anterior chamber is the main complication of early glaucoma after trabeculectomy. The most common cause is drainage.