Clinical Analysis of Shallow Anterior Chamber after Trabeculectomy in 100 Patients with Primary Angle Closed Glaucoma
WU Fei-yun
Abstract
WU Fei-yun
Abstract
Objective To analyze the causes and treatment of shallow anterior chamber in 100 patients (116 eyes) with primary angle closed glaucoma after trabeculectomy. Methods 330 cases (422 eyes) with primary angle closed glaucoma,enrolled from January 2006 to May 2009 in our hospital,were underwent trabeculectomy with application of 0.4 g·L-1 mitomycin C once under and above sclera flap dur-ing all filtering surgeries. 100 patients (116 eyes )were found with postoperative shallow anterior chamber. Results The intraocular pressure of all patients were decreased. The incidence of shallow anterior chamber were found 100 patients (116 eyes). The causes were excessive aqueous humor filteration (58 eyes),filter bleb leaks (30 eyes),choroida detachment (20 eyes) ,malignant glaucoma (8 eyes ). Anterior chamber reformed in 8 eyes with surgical procedure and 88 eyes without any surgical procedure. Conclusion The incidence of shallow anterior chamber is high after trabeculetomy with application of mitomycin C in patients with primary angle closed glaucoma. Most of such cases could be reformed through conservation treatment.
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Objective To analyze the causes and treatment of shallow anterior chamber in 100 patients (116 eyes) with primary angle closed glaucoma after trabeculectomy. Methods 330 cases (422 eyes) with primary angle closed glaucoma,enrolled from January 2006 to May 2009 in our hospital,were underwent trabeculectomy with application of 0.4 g·L-1 mitomycin C once under and above sclera flap dur-ing all filtering surgeries. 100 patients (116 eyes )were found with postoperative shallow anterior chamber. Results The intraocular pressure of all patients were decreased. The incidence of shallow anterior chamber were found 100 patients (116 eyes). The causes were excessive aqueous humor filteration (58 eyes),filter bleb leaks (30 eyes),choroida detachment (20 eyes) ,malignant glaucoma (8 eyes ). Anterior chamber reformed in 8 eyes with surgical procedure and 88 eyes without any surgical procedure. Conclusion The incidence of shallow anterior chamber is high after trabeculetomy with application of mitomycin C in patients with primary angle closed glaucoma. Most of such cases could be reformed through conservation treatment.
Key concepts: Medicine, Trabeculectomy, Sclera, Intraocular pressure, Glaucoma, Ophthalmology, Anterior chamber angle, Open angle glaucoma