Investigation of shallow anterior chamber after routine trabeculectomy of angle-closure glaucoma.
Bing Li
Abstract
Bing Li
Abstract
To summarize the incidence rate of the shallow anterior chamber after trabeculectomy of angle-cosure glaucoma in order to analyze the cause and to resurch the treatment and prevent measure.Method 82 cases (162 eyes) with primary angle-closure glaucoma were operated with routine trabeculectomy.Results 21 cases(21 eyes) with the postoperative complication of shallow anterior chamber,the incidence rate was 12.9%.The depth of shallow anterior has been classified according to Spaeth classification:Shallow anterior chamber grade Ⅰ in 12 eyes ,Ⅱ in 5 eyes and Ⅲ in 4 eyes.Of all the 21 cases,10 eyes with much more filtering,6 eyes with recession of conjunctival flap flushing.4 eyes ciliary block glaucoma.1 eye cilio-choroidal detachment.Conclusion Through conservative treatment,most patients with shallow anterior chamber grade Ⅰ~Ⅱ can be cured,Ⅲ must be early operated.The shallow anterior chamber caused by part reasons can be prevented.
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To summarize the incidence rate of the shallow anterior chamber after trabeculectomy of angle-cosure glaucoma in order to analyze the cause and to resurch the treatment and prevent measure.Method 82 cases (162 eyes) with primary angle-closure glaucoma were operated with routine trabeculectomy.Results 21 cases(21 eyes) with the postoperative complication of shallow anterior chamber,the incidence rate was 12.9%.The depth of shallow anterior has been classified according to Spaeth classification:Shallow anterior chamber grade Ⅰ in 12 eyes ,Ⅱ in 5 eyes and Ⅲ in 4 eyes.Of all the 21 cases,10 eyes with much more filtering,6 eyes with recession of conjunctival flap flushing.4 eyes ciliary block glaucoma.1 eye cilio-choroidal detachment.Conclusion Through conservative treatment,most patients with shallow anterior chamber grade Ⅰ~Ⅱ can be cured,Ⅲ must be early operated.The shallow anterior chamber caused by part reasons can be prevented.
Key concepts: Trabeculectomy, Medicine, Glaucoma, Ophthalmology, Anterior chamber angle, Angle-closure glaucoma, Surgery