【摘要】 目的 :探讨小梁切除术后低眼压性浅前房发生的原因、预防及治疗。方法 :回顾分析小梁切除术76眼的临床资料。结果 :76眼中发生浅前房 32眼 ,发生率为 4 2 .10 %。术中应用丝裂霉素C的 4 5眼中 2 9眼发生浅前房 ,发生率为 6 4.4 4%。浅前房原因中房水滤过过强 2 2眼 ,占 6 8.75 %。 2 5眼用保守治疗 ,7眼用手术治疗均恢复前房 ,患者预后良好。结论 :低眼压性浅前房是青光眼小梁切除术后早期的主要并发症 ,术中应用丝裂霉素C所致的房水滤过过强是最常见的原因 ,多数病例通过非手术方法可恢复前房 ,必要时手术治疗更多还原

【Abstract】 Objective: To study the cause,prevention and treatment of hypotonus shallow anterior chamber after trabeculectomy. Method:The clinical data of 76 eyes treated with trabeculectomy were reviewed retrospectively. Results: Among 76 eyes, 32 eyes presented shallow anterior chamber , the incidence was 42.10%. Among 45 eyes which received mitomycin C(MMC), 29 eyes presented shallow anterior chamber , the incidence was 64.44%. Excessive outflow of aqueous homor was seen in 22 eyes(68.75%). 25 eyes had been cured with non-surgical therapy and only 7 eyes were necessary to be operated. Conclusion: Hypotonus shallow anterior chamber is the main complication following trabeculectomy and excessive outflow of aqueous homor is the common cause. Most cases can be treated with non-surgical therapy. Surgical intervention should be taken if necessary.更多还原