Novel pathogenically oriented surgical technique for advanced glaucoma
<p> <b>A.Yu. Kazantseva</b><br> </p> <p> <b>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <i>For many experts, the choice of management strategy for glaucoma is still controversial. A...
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| Format: | Article |
| Language: | Russian |
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Prime-Media
2020-03-01
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| Series: | РМЖ "Клиническая офтальмология" |
| Online Access: | http://clinopht.com/upload/iblock/b00/b00c8b7c3efca002ebedcc4fb5c60c6a.pdf |
| Summary: | <p>
<b>A.Yu. Kazantseva</b><br>
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<b>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b>
</p>
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<i>For many experts, the choice of management strategy for glaucoma is still controversial. Adequate intraocular pressure (IOP) lowering slows the progression of glaucomatous optic neuropathy and preserves vision. IOP-lowering agents and laser treatment for glaucoma are widely adopted, however, they provide short-term IOP-lowering effect. Most surgeons are forced to choose between penetrating and minimally invasive non-penetrating procedures. Fistulizing glaucoma surgery is highly effective in terms of rapid IOP lowering. However, they are associated with intra- and postoperative complications resulting in impaired vision and requiring medical treatment and even surgery. Non-penetrating procedures provide gradual IOP lowering. Surgical resection of sclera is a novel surgical technique which improves uveoscleral outflow, reduces IOP, and prevents intra- and postoperative complications due to its minimum invasiveness. Considering this, one can postulate that this procedure is recom mended for patients with low vision or monocular patients.</i>
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<i><b>Keywords</b>: glaucoma, surgical resection of sclera, uveoscleral outflow, intraocular pressure, IOP, coefficient of outflow facility, non-penetrating surgery, postoperative complications.</i>
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<i><b>For citation: </b>Kazantseva A.Yu. Novel pathogenically oriented surgical technique for advanced glaucoma. Russian Journal of Clinical Ophthalmology. 2020;20(1):–25. DOI: 10.32364/2311-7729-2020-20-1-21-25.</i>
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| ISSN: | 2311-7729 2619-1571 |