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Abstract #20715 Published in IGR 10-1
Clinical study of 98 cases with shallow anterior chamber after glaucoma filtering operation in plateau area
Yi G-R; Bai Z-X; Shi JInternational Journal of Ophthalmology 2008; 8: 197-198
AIM: To investigate the cause and preventing method of the shallow anterior chamber after glaucoma filtering operation in plateau area. METHODS: We performed a retrospective analysis of 620 cases (820 eyes) who underwent glaucoma filtering operation RESULTS: After glaucoma filtering operation, 98 cases (112 eyes) presented with shallow anterior chamber. Among them, excessive drainage occurred in 102 eyes; conjunctival leaking occurred in 2 eyes; ciliochoroidal detachment occurred in 6 eyes; and malignant glaucoma in 2 eyes. All the patients of shallow I degree and some patients of shallow II degree could be cured with non-surgical therapy such as mydriasis, pressure bandage on drainage area and appropriate medicine. All cases of shallow III degree and some cases of shallow II degree combined with anterior chamber inflammation should be observed closely as well as receiving conservative treatment. If they did not improve after 5 days, surgical treatment should be adopted. CONCLUSION: The incidence of shallow anterior chamber after glaucoma filtering operation is high in plateau area. The main cause lies in excessive drainage. Conservative therapy is of first choice. Surgical intervention must be resorted to reduce the complications when conservative treatment failed. LA: Chinese
Dr. Z.-X. Bai, Department of Ophthalmology, General Hospital of Tibet Military Command of Chinese PLA, Lasa 850007 Tibet Autonomous Region, China. baizongxi@yahoo.com.cn
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
