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AIM: To explore the causes and treatment methods of shallow anterior chamber after trabeculectomy. METHODS: A total of 43 cases (65 eyes) with different types of glaucoma underwent trabeculectomy. Among them 15 eyes had shallow anterior chamber after operation. The causes and treatment effects were analyzed. RESULTS: In present study, shallow anterior chamber occurred in 15 eyes making up 23%. The main causes for shallow anterior chamber were preoperative high intraocular pressure (IOP) and ocular inflammations. Through conservative or surgical coprehensive therapy, anterior chamber was formed gradually within 5 to 7 days after operation. During the follow-up of 3 to 30 months, IOP was controlled well and no severe complications were found. CONCLUSION: The antihypertensive effect of trabeculectomy is good, but the incidence of shallow anterior chamber is high. Attentions should be paid to control preoperative IOP, to reduce inflammation, to promote the accuracy of surgical procedure. Thus the occurrence of shallow anterior chamber may be reduced. LA: Chinese
Dr. X.-Y. Zhu, Department of Ophthalmology, The First People's Hospital, Yangzhou 225001 Jiangsu Province, China. chinazhuxiaoyu@yahoo.com.cn
12.8.11 Complications, endophthalmitis (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)