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对无晶体眼持续浅前房伴有明显的低眼压、广泛脉络膜脱离、虹膜角膜粘连及玻璃体角膜粘连者,应用带粘胶性和弹性的无菌透明质酸钠(Healon)制剂作为一种手术辅助物颇有助益。作者在1980年1～7月间检查了4例持续7天以上的浅前房患者。他们曾于10天～3周前施行白内障摘出术,且均伴有明显的低眼压(0～3mmHg),无前房,虹膜角膜、玻璃体角膜和虹膜玻璃体粘连以及广泛的脉络膜脱离(300°)。初检时将2%荧光素溶液滴于伤口区,均未发现有伤口漏。对使用强扩瞳剂和加压包扎治疗亦均无效。由于虹膜角膜、虹膜玻璃体粘连和角膜水肿逐渐加重而需施行手术治疗。4例患者的手术方式相同,在手术显微镜下用微型玻璃体视网膜刀(MVR)与角膜成45°角,在颞下方紧靠角膜缘内侧的透明角膜处作切口。持续轻推MVR刀和轻微的向侧方移动直到刀尖穿入前房;这可通过看到虹膜轻度移动来证实。然后将透明质酸钠经切口注入前房,通过注入透明质酸钠使虹膜与角膜内皮分开,前房重新形成。此时尚留下虹膜玻璃
Persistent shallow anterior chamber with aphakia accompanied by significant hypotony, extensive choroidal detachment, iris and corneal adhesion and vitreous corneal adhesion, the use of adhesive and elastic sterile sodium hyaluronate (Healon) preparations as a Surgical aids are helpful. The authors examined 4 patients with shallow anterior chamber over 7 days in January-July 1980. They underwent cataract extraction from 10 days to 3 weeks and had a marked hypotony (0-3 mmHg) with no anterior chamber, iris cornea, vitreous corneal and iris vitreous adhesions, and extensive choroidal detachment (300 ° ). Initial examination will be 2% fluorescein solution drops in the wound area, were not found to have wound leakage. On the use of strong dilation agent and pressure bandaging are also ineffective. Due to the iris cornea, iris vitreous adhesions and corneal edema gradually increased and the need for surgical treatment. Four patients underwent the same surgical procedure. The patients underwent a microscopic vitrectomy with an MVR angle of 45 ° to the cornea and a clear cornea immediately below the infratemporal side of the limbus for incision. Continue to nudge the MVR Knife and move it slightly to the side until the tip penetrates the anterior chamber; this can be confirmed by seeing a slight movement of the iris. The sodium hyaluronate is then injected into the anterior chamber through the incision, the iris is separated from the corneal endothelium by injection of sodium hyaluronate, and the anterior chamber is reconstituted. This time leaving iris glass