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Objective To explore the cases of plateau anterior chamber after trabeculectomy,slerectoiridectomy and iridencleisis.
目的 讨论小梁切除术、巩膜咬切术和虹膜嵌顿术后浅前房的原因和发生情况。
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The result suggested that IPE might produce some substance which could inhibit proliferation of fibroblasts and thus favor the filtering effect of the iridencleisis operation.
实验结果提示虹膜色素上皮细胞对成纤维细胞的调制作用可能有利于抗青光眼手术滤过道的维持，并可以部分的解释虹膜嵌顿术的机理。
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Results (1)In the group (109 eyes) with preoperative intraocular pressure≤21mmHg,sixty-four eyes were treated with trabeculectomy,and 31 eyes with slerectoiridectomy of which there were 9(14.1%) and 7(20.6%) eyes had undergone PAC respectively.There was no PAC in 11 eyes treated with iridencleisis;(2)In the group(175 eyes)with PIOP from 22 to 35 mmHg,there were 26 eyes(25.2%) and 15 eyes(32.6%) developing PAC of 103 eyes treated with trabeculectomy,and 46 eyes with slerectoiridectomy respectively,of 26 eyes with iridencleisis,there were 5 eyes(19.2%) developing PAC;(3)In the group(106 eyes)with PIOP＞35mmHg,there were 13 eyes(31%) developing PAC of 23 eyes with trabeculectomy,5 eyes(21.7%) developing PAC of 23 eyes with slerectoiridectomy.
结果 (1)术前眼压≤21mmHg(1mmHg=0.133kPa)者109只眼，小梁切除术64只眼，术后浅前房9只眼，占14.1%，巩膜咬切术31只眼，术后浅前房7只眼，占20.6%，虹膜嵌顿术11只眼，术后无浅前房发生；(2)术前眼压22-35mmHg者175只眼，小梁切除术103只眼，术后浅前房26只眼，占25.2%，巩膜咬切术46只眼，术后浅前房15只眼，占32.6%，虹膜嵌顿术26只眼，术后浅前房5只眼，占19.2%；(3)术前眼压＞35mmHg者106只眼，小梁切除术42只眼，术后浅前房13只眼，占31%，巩膜咬切术23只眼，术后浅前房5只眼，占21.7%，虹膜嵌顿术41只眼，术后浅前房5只眼，占12.2%。
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There were 5 eyes(12.2%) developing PAC of 41 eyes with iridencleisis.Conclusion Iridencleisis has lower PAC incidence;PAC incidence is lower in group with PIOP≤21mmHg.
3种抗青光眼手术中，虹膜嵌顿术后浅前房发生率低；术前眼压控制正常后，术后浅前房发生率低。
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Methods Under microscopy 16 cases (16 eye) of partical iridodialysis were repaired by puncturing tunnels on the scleras.
显微镜下对虹膜根部断离的16例（16眼）行巩膜穿刺和嵌顿修复术。
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iridencleisis：虹膜嵌顿术 瞳孔闭合
iridemia 虹膜出血 | iridencleisis 虹膜嵌顿术 瞳孔闭合 | iridentropium 虹膜内翻
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iridencleisis：虹膜嵌顿术
虹膜晶体膈 iridolenticular diaphram | 虹膜嵌顿术 iridencleisis | 虹膜根部断离 iridodialysis