REMOTE RESULTS OF A NEW SURGERY TREATMENT OF PRIMARY OPEN-ANGLE GLAUCOMA WITH SUPRACILIARY DRAINAGE. PART IІ
About the author:
Venger L. V., Yakymenko I. V., Ulianova N. A.
CLINICAL AND EXPERIMENTAL MEDICINE
Type of article:
Objective. To evaluate in the remote period the effectiveness of the developed new method of surgical treatment of open-angle glaucoma with supracylial drainage. Object and methods. The study included 100 patients diagnosed with primary open-angle glaucoma, which were divided into 50 patients in each group. Patients in the main group were operated by the new supraciliary drainage method proposed by us. Patients of the control group performed classical sinusotrabeukulotomy. The data of the thickness of the choroid on the operated and pair eyes, the thickness of peripapillary nerve fibers, the “excavation / Disk” ratio for 5 days, month and year after the operation were analyzed. The study of the morphological features of the choroid and optic nerve was performed using the Swept-Sourse OCT (SS-OCT) method using a Topcon DRI Triton apparatus. The study of the choroid condition was carried out under unchanged conditions, at the same time of day, with the general condition of patients was satisfactory, changes in the mode of the day, the reception of medical products, etc. was not. Results. In the main group there is a significant thickening of the choroid on all observation periods, which confirms the effectiveness of the developed new method of surgical treatment aimed at improving the uveoscleral outflow. While in the control group increase in the choroid was observed only 5 days after the operation, which is associated with a decrease in intraocular pressure and a decrease in pressure inside the eye on the choroid. Data on the overall thickness of peripapillary nerve fibers and the ratio of “excavation / Disk” in the main group, in contrast to the control group, were stable, indicating no progression of glaucomatous optic neuropathy. Conclusions. A new method of surgical treatment of open-angle glaucoma with drainage of supraciliary space allowed to achieve thickening of the choroid in the early and remote postoperative period by improving the uveocleal outflow, which contributed to the stabilization of the progression of glaucomatous opticoneuropathy
primary open-angle glaucoma, surgical treatment, supraciliary drainage, efficiency, thickening of the choroid, uveoscleral outflow
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Publication of the article:
«Bulletin of problems biology and medicine» Issue 2 Part 1 (150), 2019 year, 105-108 pages, index UDK 617.7-007.681-07-08