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连续收集青光眼滤过手术后发生脉络膜脱离的病例45例49只眼。术后浅前房按Spaeth分类评价,结果有10只眼发生脉络膜球形脱离,70%为局限象限性且71.4%累及下方,术后浅前房均发生在第1天,60%为浅Ⅱ度。有39只眼发生脉络膜周边部浅脱离,79.5%累及各象限,局限性浅脱离中87.5%累及鼻侧,术后浅前房发生在平均1.9天。对不同表现形式的脉络膜脱离及伴存的不同程度浅前房作了分析,指出平均脱离高度1.18mm的周边部脉络膜浅脱离临床上不易发现的原因。阐述了患眼玻璃体状况与脉络膜脱离形态的密切关系。
Collected consecutive cases of choroidal detachment after glaucoma filtration surgery in 45 cases 49 eyes. Postoperative shallow anterior chamber by Spaeth classification evaluation, the results of 10 eyes choroidal spheroidal detachment, 70% of the limited quadrant and involvement of 71.4% below the postoperative shallow anterior chamber occurred in the first day, 60% shallow Ⅱ degree. In 39 eyes, there was a slight detachment of the peripheral choroid, 79.5% of the quadrants involved, and 87.5% of the limited detachment involved the nasal side. The average length of the anterior chamber was 1.9 days. Different forms of choroidal detachment and the presence of shallow anterior chamber were analyzed in varying degrees and pointed out that the average deviation from the height of the peripheral choroidal detachment of less than 1.18mm difficult to find the reasons. The relationship between vitreous status and choroidal detachment status was described.