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Abstract #21637 Published in IGR 10-3
Cause and treatment of flat anterior chamber after glaucoma trabeculectomy
Yao LInternational Journal of Ophthalmology 2008; 8: 1186-1187
AIM: To explore the cause and treatment of flat anterior chamber after glaucoma trabeculectomy. METHODS: One hundred and twenty-four cases (112 eyes) were undertaken glaucoma trabeculectomy. During the operation, we took the fornix as the fundus and made a conjunctiva lamella firstly. Secondly, we made a sclera lamella as a rectangle of 4mm x 5mm. After that, we punctured the anterior chamber and let aqueous humor out. Then we resected 1mm x 3mm trabecula tissues and also peripheral iris. Last, we sewed the cut of the conjunctiva up. RESULTS: Flat anterior chamber developed in 34 cases (40 eyes, 32.3%), in which 34 eyes were at grade I, 5 eyes at grade II and 1 eye was at grade III. Twenty-two eyes were caused by excessive outflow, 12 eyes by choroidal detachment, 3 eyes by the leakage of conjunctiva lamella, 2 eyes by aqueous humor deficiency and 1 eye was by malignant cataract. CONCLUSION: (1) the anterior chamber often forms within 7 days after glaucoma trabeculectomy. If it fails to form, for those cases at grade I and II can be cured by expectant treatment. However, for those at grade III, the operation should be taken if expectant treatment fails to cure it. (2) the main cause of the flat anterior chamber after glaucoma trabeculectomy is excessive outflow. LA: Chinese
Dr. L. Yao, Department of Ophthalmology, Shangluo Central Hospital, Shangluo 726000 Shaanxi Province, China. jxb20060608@163.com
Classification:
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)
