目的：探讨应用“固定棉片”加压包扎治疗青光眼术后浅前房的疗效和安全性。方法：回顾性研究青光眼术后发生浅前房患者(因滤过过强)，用散瞳睫状肌麻痹剂、脱水剂后对眼部进行加压包扎。对照组：2002.01~2010.01我科治疗青光眼浅前房的方法，将无菌棉球搓成枣核形，加置在眼睑皮肤面外，用医用胶布固定，绷带缠绕进行轻加压包扎；观察组：2010.02~2018.02我科治疗青光眼浅前房的方法，将“枣核形”更换为“固定棉片”(本人设计)进行加压包扎。观察患者加压包扎后前房成形率、眼压变化、视力及并发症(角膜皱褶、浅前房恶化)情况。结果：对照组：加压包扎次日前房成形率75.0%，角膜皱褶、水肿31.8%，前房延缓形成及浅前房恶化形成恶性青光眼11.4%，1周眼压平均为(25.9 ± 11.2) mm？Hg，术后1个月眼压平均为(20.5 ± 8.5) mm？Hg，此后眼压平稳，术后12个月眼压平均为(17.8 ± 10.4) mm？Hg。观察组：加压包扎次日前房成形率89.4%，角膜皱褶、水肿10.6%，前房延缓形成及浅前房恶化形成恶性青光眼9.1%，1周眼压平均为(23.4 ± 9.2) mm？Hg，术后1个月眼压平均为(20.5 ± 8.5) mm？Hg，此后眼压平稳，术后12个月眼压平均为(17.8 ± 10.4) mm？Hg。结论：固定棉片加压包扎较传统加压包扎法，前房成形率高，无明显严重并发症。固定棉片加压包扎是治疗因青光眼术后浅前房(因滤过过强)安全而有效的治疗方法之一。
Objective: To explore the application of “fixed cotton piece” compression bandage efficacy and safety of shallow anterior chamber after glaucoma surgery. Methods: A retrospective study with occurrence of shallow anterior chamber after glaucoma surgery patients, mydriatic or dehydrating agent after compression bandage on the eye. Control group: 2002.01-2010.01 treatment of glaucoma shallow anterior chamber, the method of sterile cotton ball rub into jujube cary-omorphism, place outside the eyelid skin surface, fixed with medical tape and compression bandage; Observation group: 2010.02-2018.02 replaced the “jujube caryomorphism” to “fixed cotton piece” and compression bandage. Then we observed the anterior chamber forming rate, intraocular pressure, vision and complications (corneal folds, deterioration of shallow anterior chamber). Results: The control group: The next day the anterior chamber forming rate was 75.0%, 31.8% corneal folds, edema, the anterior chamber was delayed and deterioration of shallow anterior chamber to form malignant glaucoma 11.4%, average intraocular pressure for 1 weeks (25.9 ± 11.2) mm？Hg, postoperative 1 month average intraocular pressure for (20.5 ± 8.5) mm？Hg, thereafter intraocular pressure stable, average intraocular pressure after 12 months (17.8 ± 10.4) mm？Hg. Observation group: The next day the anterior chamber forming rate was 89.4%, 10.6% corneal folds, edema, the anterior chamber was delayed and deterioration of shallow anterior chamber to form 9.1% of malignant glaucoma, 1 week intraocular pressure on average (23.4 ± 9.2) mm？Hg, postoperative 1 month average intraocular pressure for (20.5 ± 8.5) mm？Hg, average intraocular pressure after 12 months (17.8 ± 10.4) mm？Hg. Conclusions: With “fixed cotton piece” and compression bandage, anterior chamber forming rate is high, no serious complications. Fixed cotton piece compression bandage is a
Quigley, H.A. and Langham, M.E. (1975) Comparative In-traocular Pressure Measurements with the Pneumatonograph and Goldmanntonometer. American Journal of Ophthal-mology, 80, 266-273.
https://doi.org/10.1016/0002-9394(75)90144-0
