探讨原发性闭角型青光眼小梁切除术后并发症—浅前房和角膜后弹力层脱离的原因及防治措施。 方法:对160例187眼原发性闭角型青光眼小梁切除术后并发症—浅前房和角膜后弹力层脱离的治疗观察。 结果:患者160例187眼行小梁切除术后发生浅前房33眼，发生率为17.65%，其中1眼发生脉络膜脱离，经保守治疗治愈。在160例小梁切除术中，我科开展了5例6眼术毕向前房内注入适量透明质酸钠以预防术后浅前房，其中1例双眼发生角膜后弹力层脱离，右眼发生广泛后弹力层脱离经前房注气3次治愈，左眼脱离范围小于1/3未做处理。 结论:对于原发性闭角型青光眼小梁切除术时，手术要轻巧，操作要精细，以减少或避免严重并发症的发生

To evaluate the reasons and the dealing ways of postoperative complications of trabeculectomy in the management of primary angle-closure glaucoma-shallow anterior chamber and descemet membrane detachment. METHODS:Totally 160 cases(187 eyes) of primary angle-closure glaucoma underwent trabeculectomy, postoperative complications-shallow anterior chamber and descemet memberane detachment were observed. RESULTS:There were 33 eyes(17.65%) that incurred shallow anterior chamber, in which 1 occurred choroidal detachment and finally cured after conservative treatment. 5 cases (6 eyes) performed anterior chamber injection of sodium hyaluronate,after operation in which 1 occurred both eyes descemet membrane detachment,finally right eye which detached widely cured after 3 times injections of gas in the anterior chamber,as detached less than one-third,left eye was untreated. CONCLUSION:Trabeculectomy in the management of primary angle-closure glaucoma must be performed lightly and accurately in order to reduce and avoid the occurrence of serious complications.