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无前房是青光眼滤过术后最常见的并发症。较长时日的无前房往往引起虹膜周边前粘连,导致眼压不能控制,手术失败,也可能引起晶体混浊或加速原有的老年性白内障的进展,降低视力。长期无前房还可损伤角膜内皮细胞,造成长期角膜水肿,怕光、流泪等症状持续存在,给病人造成极大的痛苦,最终导致眼球变性,功能丧失。抗青光眼术后无前房应予及时适当处理。首先,应通过仔细的临床检查来寻找无前房的原因,针对原因加以治疗。滤过术后无前房的原因通常有滤过泡漏,睫状体脉络膜脱离,恶性青光眼和滤过口过大引流过分通畅等。本文结合两个病例的治疗经过,着重讨论最后一
Anterior chamber is the most common complication after glaucoma filtration surgery. A long time without anterior chamber often leads to the iris before the adhesion, leading to intraocular pressure can not control the failure of surgery, may also cause crystal opacity or accelerate the progress of the original senile cataracts, reduce vision. Prolonged anterior chamber can also damage the corneal endothelial cells, causing long-term corneal edema, fear of light, tears and other symptoms persist, causing great pain to the patient, eventually leading to degeneration of the eye, loss of function. Anti-glaucoma without anterior chamber should be timely and appropriate treatment. First, the cause of anterior anterior chamber should be searched through careful clinical examination and treated for reasons. Filtration after the anterior chamber is usually due to filtration leakage, ciliary body choroidal detachment, malignant glaucoma and excessive filtration of the mouth too smooth and so on. This article combines the treatment of two cases, focusing on the last one