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总结分析 １９９５～１９９８ 年在我院施行滤过性手术联合丝裂霉素 Ｃ术后出现的低眼压及低眼压性黄斑病变的病例。对其中的 ２３例 （２８ 眼） 术后出现低眼压及低眼压性黄斑病变患者进行了追踪观察。术后随访平均 １０５ 个月。结果： 术后 ２～４ 周低眼压发生率为 １７９％ （２８／１５６）； ４～６ 周低眼压发生率为７７％ （１２／１５６）； 低眼压性黄斑病变发生率 １９％ （３／１５６）。结论： 低眼压及低眼压性黄斑病变是滤过性手术联合丝裂霉素 Ｃ术后出现的主要并发症。对于术后早期出现的低眼压不应采取破坏滤过泡的处理，以免造成眼压升高， 多数人眼压可自行恢复正常。对低眼压合并黄斑病变者， 应及时修补滤过泡， 而使眼压升高， 防止不可逆的视力损害发生。
To summarize and analyze the cases of low intraocular pressure (IOP) and low intraocular pressure (IOP) macular degeneration after filtering surgery and mitomycin C in our hospital from 1995 to 1998. Twenty-three patients (28 eyes) underwent postoperative hypotony and macular degeneration (IOP). The average follow-up was 105 months. Results: The incidence of hypotension was 179% (28/156) at 2 ~ 4 weeks postoperatively. The incidence of hypotension at 4 ~ 6 weeks was 77% (12/156). Low intraocular pressure macular degeneration The incidence of 1 9% (3/156). CONCLUSIONS: Hypotension and HYD are the main complication after filtering surgery combined with mitomycin C. Occurred early postoperative low intraocular pressure should not be taken to destroy the filter bleb processing, so as to avoid elevated intraocular pressure, the majority of intraocular pressure can be restored to its normal. Ocular hypertension associated with macular degeneration, should promptly repair filtration bleb, leaving the intraocular pressure increased, to prevent irreversible visual impairment occurred.