Kim Y Y, Jung H R
Department of Ophthalmology, Korea University College of Medicine, Seoul.
Acta Ophthalmol Scand. 1995 Jun;73(3):268-72. doi: 10.1111/j.1600-0420.1995.tb00283.x.
The authors reviewed 70 eyes of 59 patients who underwent trabeculectomy. We divided the eyes into the flat anterior chamber group (23 eyes) and formed anterior chamber group (47 eyes, control group). The influence of clinical variables on the development of flat anterior chamber, and the effect of flat anterior chamber on the success of trabeculectomy were evaluated. The two groups were similar in terms of many variables, but the preoperative intraocular pressure (27.1 +/- 15.4 vs. 18.1 +/- 8.7 mmHg), incidence of cataract progression (9/18 vs. 10/44) and choroidal detachment (5/23 vs. 2/47) were higher in the flat anterior chamber group (p < 0.05). The overall success rates for the follow-up period of 30 months were similar between the two groups (p > 0.05). However, the short-term (2 to 8 months) postoperative success rates were lower in the flat anterior chamber group (p < 0.05). The development of flat anterior chamber following trabeculectomy can be reduced by lowering the preoperative intraocular pressure, and flat anterior chamber may be harmful to the postoperative course of trabeculectomy.
作者回顾了59例接受小梁切除术患者的70只眼。我们将这些眼分为无前房组（23只眼）和有前房组（47只眼，对照组）。评估了临床变量对无前房形成的影响，以及无前房对小梁切除术成功的影响。两组在许多变量方面相似，但无前房组的术前眼压（27.1±15.4 vs. 18.1±8.7 mmHg）、白内障进展发生率（9/18 vs. 10/44）和脉络膜脱离发生率（5/23 vs. 2/47）更高（p<0.05）。两组在30个月随访期的总体成功率相似（p>0.05）。然而，无前房组术后短期（2至8个月）成功率较低（p<0.05）。通过降低术前眼压可减少小梁切除术后无前房的发生，且无前房可能对小梁切除术的术后过程有害。
