The cause and management of shallow anterior chamber after trabeculectomy of glaucoma.
Zhao Lizhe
Abstract
Zhao Lizhe
Abstract
Objective To analyze the cause and management of shallow anterior chamber after trabeculectomy of glaucoma.Methods 134 cases(187 eyes)with glaucoma were operated with routine trabeculectomy.Results 42 cases(54 eyes)with the postoperative complication of shallow anterior chamber,the incidence rate was 28.9%.The depth of shallow anterior has been Classified according to Spaeth Classification.Shallow anterior chamber grade Ⅰ in 43 eyes,grade Ⅱ in 11 eyes.Of all the 54 eyes,42 eyes with much more filtering, 2 eyes with conjunctival flap flushing,10 eyes choroidal detachment.They were managed with non-surgical therapy.Conclusion The common cause of shallow anterior chamber after trabeculectomy is excessive aqueous homor drainage.Through conservative treatment,most patients with shallow anterior chamber grade Ⅰ~Ⅱ can be cured.
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Objective To analyze the cause and management of shallow anterior chamber after trabeculectomy of glaucoma.Methods 134 cases(187 eyes)with glaucoma were operated with routine trabeculectomy.Results 42 cases(54 eyes)with the postoperative complication of shallow anterior chamber,the incidence rate was 28.9%.The depth of shallow anterior has been Classified according to Spaeth Classification.Shallow anterior chamber grade Ⅰ in 43 eyes,grade Ⅱ in 11 eyes.Of all the 54 eyes,42 eyes with much more filtering, 2 eyes with conjunctival flap flushing,10 eyes choroidal detachment.They were managed with non-surgical therapy.Conclusion The common cause of shallow anterior chamber after trabeculectomy is excessive aqueous homor drainage.Through conservative treatment,most patients with shallow anterior chamber grade Ⅰ~Ⅱ can be cured.
Key concepts: Trabeculectomy, Medicine, Glaucoma, Ophthalmology, Surgery, Conservative management