青光眼滤过手术相关的低眼压和无前房的处理
Management of hypotony and flat anterior chamber associated with glaucoma filtration surgery.
作者信息
Tunç Yavuz, Tetikoglu Mehmet, Kara Necip, Sagdık Haci Murat, Özarpaci Selahattin, Elçioğlu Mustafa Nuri
机构信息
Department of Ophthalmology, Denizli Government Hospital, Denizli 20000, Turkey.
Department of Ophthalmology, Dumlupinar University School of Medicine, Kutahya 43100, Turkey.
出版信息
Int J Ophthalmol. 2015 Oct 18;8(5):950-3. doi: 10.3980/j.issn.2222-3959.2015.05.17. eCollection 2015.
AIM
To determine the effectiveness of pharmacological and interventional treatment of hypotony and flat anterior chamber (FAC) resulting from glaucoma filtration surgery.
METHODS
We retrospectively examined the medical records of fifty-two trabeculectomy patients (52 eyes) who developed postoperative hypotony and FAC. The management and associated complications of hypotony, changing intraocular pressure (IOP) and best corrected visual acuity (BCVA) were evaluated.
RESULT
Of the 52 patients with hypotony, 29 (56%) had a grade 1 FAC, 21 (40%) had a grade 2 FAC, and only 2 had a grade 3 FAC. There was no significant difference between the mean preoperative IOP and the mean IOP at three and six months after surgery. Thirteen eyes (25%) required antiglaucomatous medication three months after surgery. The mean BCVA at 6mo after surgery was significantly reduced as compared with the mean preoperative BCVA.
CONCLUSION
Hypotonia and FAC following trabeculectomy are associated with troublesome complications that require pharmacological and/or surgical treatment. Thus, close follow-up is essential for affected patients.
目的
确定药物治疗和介入治疗对青光眼滤过手术导致的低眼压和无前房（FAC）的有效性。
方法
我们回顾性研究了52例接受小梁切除术且术后出现低眼压和FAC的患者（52只眼）的病历。评估了低眼压的处理方法及相关并发症、眼压（IOP）变化和最佳矫正视力（BCVA）。
结果
在52例低眼压患者中，29例（56%）为1级FAC，21例（40%）为2级FAC，仅2例为3级FAC。术前平均眼压与术后3个月和6个月的平均眼压之间无显著差异。13只眼（25%）术后3个月需要使用抗青光眼药物。术后6个月时的平均BCVA与术前平均BCVA相比显著降低。
结论
小梁切除术后的低眼压和FAC与需要药物和/或手术治疗的棘手并发症相关。因此，对受影响的患者进行密切随访至关重要。
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