抗青光眼术后低眼压性浅前房相关因素分析及处理

山东大学耳鼻喉眼学报 ›› 2010, Vol. 24 ›› Issue (01): 51-53.

抗青光眼术后低眼压性浅前房相关因素分析及处理

徐联昌

滨州沪滨眼科医院，山东滨州 256600

收稿日期:2009-10-16 修回日期:2010-01-21 出版日期:2010-02-16 发布日期:2010-02-16
作者简介:徐联昌（1972- ），男，主治医师，主要从事青光眼专业研究。 Email:Xulianchang2009@126.com

The relative factors and treatment of the low-tension shallow anterior chamber after anti-glaucoma surgery

XU Lianchang

Hubin eye Hospital of Binzhou， Binzhou 256600， Shandong， China

Received:2009-10-16 Revised:2010-01-21 Online:2010-02-16 Published:2010-02-16

摘要/Abstract

摘要：

目的探讨抗青光眼术后低眼压性浅前房发生的相关因素及处理方法。方法回顾性总结我院315例行小梁切除术和39例行虹膜嵌顿术的青光眼患者术后低眼压性浅前房的发生率，并分析术前眼压，手术方式，术后结膜伤口渗漏，滤过过强及脉络膜脱离等与术后低眼压性浅前房的关系。结果发生低眼压性浅前房68眼（16.31%）。术前眼压≤21mmHg者201眼中发生低眼压性浅前房16眼（7.96%）；其中小梁切除术185眼，发生低眼压性浅前房16眼（8.65%），虹膜嵌顿术16眼，无低眼压性浅前房发生。术前眼压22～30mmHg者126眼中发生低眼压性浅前房28眼（22.22%）；其中小梁切除术114眼，发生低眼压性浅前房27眼（23.68%），虹膜嵌顿术12眼，发生低眼压性浅前房1眼（8.33%）。术前眼压31～40mmHg者72眼中发生低眼压性浅前房26眼（36.11%）；其中小梁切除术65眼，发生低眼压性浅前房25眼（38.46%），虹膜嵌顿术7眼，发生低眼压性浅前房1眼（14.29%）。术前眼压＞40mmHg者18眼中发生低眼压性浅前房8眼（44.44%）；其中小梁切除术14眼，发生低眼压性浅前房7眼（50%）虹膜嵌顿术4眼，发生低眼压性浅前房1眼（25%）。术后结膜伤口渗漏11眼（16.18%），滤过过强38眼（55.88%），脉络膜脱离7眼（10.29%），另有原因不明者12眼。结论抗青光眼术后低眼压性浅前房与多种因素有关。①术前眼压越高，发生率越高；②虹膜嵌顿术较小梁切除术发生率低；③滤过过强者发生率最高。

关键词: 抗青光眼手术；低眼压性浅前房；相关因素；治疗

Abstract:

Objective To explore the correlative factor and treatment of postoperative the low-tension shallow anterior chamber. Methods Retrospectively the incidence of the postoperative low-tension shallow anterior chamber in 315 patients with trabeculectomy and 39 patients with iridencleisis, the relationship of the postoperative low-tension shallow anterior chamber with the preoperative intraocular pressure, surgical method， leakage of conjunctive incision, strong filtration and detachment of chnorioid postoperatively were analyzed. Results All of the postoperative low-tension shallow anterior chambers occurred in 68 eyes (16.13%). 16 eyes had low-tension shallow anterior chamber of 201 eyes with equal or below 21 mmHg preoperative intraocular pressure, in which 16 of 185 eyes (8.65%) with trabeculectomy occurred and 0 in 16 eyes (0.00%) whit iridencleisis occurred. 28 of 126 eyes (22.22%) with preoperative intraocular pressure of 22-30 mmHg occurred, in which 27 of 114 eyes (23.68%) whit trabeculectomy occurred and 1 of 12 eyes (8.33%) whit iridencleisis occurred. 26 of 72 eyes (36.11%) with preoperative intraocular pressure of 31-40 mmHg occurred, in which 25 of 65 eyes (38.46%) whit trabeculectomy occurred and 1 of 7 eyes (14.29%) whit iridencleisis occurred. 8 of 18 eyes (44.44%) with over 40 mmHg preoperative intraocular pressure occurred, in which 7 of 14 eyes (50.00%) whit trabeculectomy occurred and 1 of 4 eyes (25.00%) whit iridencleisis occurred. 11 eyes (16.18%) were because of conjunctive leakage postoperatively. 38 eyes (55.88%) were because of much more filtering. 7 eyes (10.29%) were because of the detachment of chorioid . The other 12 eyes had no obvious causes. Conclusion Shallow anterior chamber after anti-gluacoma surgery had a relationship to many kinds of factors. ① Higher incidence of the low-tension shallow anterior chamber with higher preoperative intraocular pressure. ② Lower incidence with the iridencleisis than trabeculectomy. ③Strong filtration had the highest rate.

Key words: Anti-glaucoma surgery; Postoperative low-tension shallow anterior chamber; Relative factor; Treatment

中图分类号:

R775

徐联昌. 抗青光眼术后低眼压性浅前房相关因素分析及处理[J]. 山东大学耳鼻喉眼学报, 2010, 24(01): 51-53.

XU Lianchang. The relative factors and treatment of the low-tension shallow anterior chamber after anti-glaucoma surgery[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(01): 51-53.

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