Using of modern types of drainage in glaucoma surgery: our experience
Purpose. To evaluate antihypertensive efficiency and safeness of Xenoplast, Glautex, and Ex-PRESS drainage during glaucoma surgery. Material and methods. 249 patients with primary open angle glaucoma (253 eyes) underwent antihypertensive operations with Xenoplast (group I, 121 patients aged 68.6 ± 7...
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| Format: | Article |
| Language: | Russian |
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Real Time Ltd
2020-03-01
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| Series: | Российский офтальмологический журнал |
| Subjects: | |
| Online Access: | https://roj.igb.ru/jour/article/view/383 |
| _version_ | 1797878272435945472 |
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| author | T. V. Gavrilova K. S. Lyubimov S. N. Mukhamadeeva M. V. Chereshneva |
| author_facet | T. V. Gavrilova K. S. Lyubimov S. N. Mukhamadeeva M. V. Chereshneva |
| author_sort | T. V. Gavrilova |
| collection | DOAJ |
| description | Purpose. To evaluate antihypertensive efficiency and safeness of Xenoplast, Glautex, and Ex-PRESS drainage during glaucoma surgery. Material and methods. 249 patients with primary open angle glaucoma (253 eyes) underwent antihypertensive operations with Xenoplast (group I, 121 patients aged 68.6 ± 7.7 yrs), Glautex (group II, 49 patients aged 66.8 ± 7.7 yrs) and Ex-PRESS (group III, 79 patients aged 67.9 ± 8.3 yrs). In groups I and II, drainages were implanted during penetrating and non-penetrating surgery. Long-term results were traced for 2 years. Results. In the early postoperative period, all groups had complications typical for antiglaucoma surgery without drainage: I — 14.8 %, II — 16.8 %, III — 16.8 %. An absolute success of the operation (normalization of IOP without additional antihypertensive therapy) was achieved as follows. In group I for patients with non-penetrating deep sclerectomy it was achieved in 98.4 % of cases at the moment of discharge from hospital, whereupon the figure fell to 15.4 % in 18 months. In group I patients, with trabeculectomy the success was achieved in 96.7 %, dropping to 6.7 %. In group II for patients with non-penetrating deep sclerectomy the success claimed 96.3 %, but after 12 months it vanished completely. In group II with trabeculectomy the success reached 95.7 %, but dropped to 16.7 % after 24 months. In group III the success rate at the moment of discharge was 96.3 % but it dropped to 16.7 % after 24 months. In cases if target pressure could not be achieved the surgery was repeated. Conclusion. The absolute success originally achieved in all groups (96.3–98.4 %) was not persistent and after a 2-year observation, tended to disappear. The effect lasted longer in eyes after trabeculectomy with Glautex and Ex-PRESS. The hypotensive effect of primary antiglaucoma surgery was higher in penetrating operations. |
| first_indexed | 2024-04-10T02:31:08Z |
| format | Article |
| id | doaj.art-2654a4bfe3c2468380b1c717fae72a9e |
| institution | Directory Open Access Journal |
| issn | 2072-0076 2587-5760 |
| language | Russian |
| last_indexed | 2024-04-10T02:31:08Z |
| publishDate | 2020-03-01 |
| publisher | Real Time Ltd |
| record_format | Article |
| series | Российский офтальмологический журнал |
| spelling | doaj.art-2654a4bfe3c2468380b1c717fae72a9e2023-03-13T07:54:30ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602020-03-01131717610.21516/2072-0076-2020-13-1-71-76267Using of modern types of drainage in glaucoma surgery: our experienceT. V. Gavrilova0K. S. Lyubimov1S. N. Mukhamadeeva2M. V. Chereshneva3ФГБОУ ВО ПГМУ им. акад. Е.А. Вагнера Минздрава России; ГБУЗ Пермского края ордена «Знак Почета» «Пермская краевая клиническая больница»ФГБОУ ВО ПГМУ им. акад. Е.А. Вагнера Минздрава России; ГБУЗ Пермского края ордена «Знак Почета» «Пермская краевая клиническая больница»ГБУЗ Пермского края ордена «Знак Почета» «Пермская краевая клиническая больница»ФГБУН «Институт иммунологии и физиологии» УрО РАНPurpose. To evaluate antihypertensive efficiency and safeness of Xenoplast, Glautex, and Ex-PRESS drainage during glaucoma surgery. Material and methods. 249 patients with primary open angle glaucoma (253 eyes) underwent antihypertensive operations with Xenoplast (group I, 121 patients aged 68.6 ± 7.7 yrs), Glautex (group II, 49 patients aged 66.8 ± 7.7 yrs) and Ex-PRESS (group III, 79 patients aged 67.9 ± 8.3 yrs). In groups I and II, drainages were implanted during penetrating and non-penetrating surgery. Long-term results were traced for 2 years. Results. In the early postoperative period, all groups had complications typical for antiglaucoma surgery without drainage: I — 14.8 %, II — 16.8 %, III — 16.8 %. An absolute success of the operation (normalization of IOP without additional antihypertensive therapy) was achieved as follows. In group I for patients with non-penetrating deep sclerectomy it was achieved in 98.4 % of cases at the moment of discharge from hospital, whereupon the figure fell to 15.4 % in 18 months. In group I patients, with trabeculectomy the success was achieved in 96.7 %, dropping to 6.7 %. In group II for patients with non-penetrating deep sclerectomy the success claimed 96.3 %, but after 12 months it vanished completely. In group II with trabeculectomy the success reached 95.7 %, but dropped to 16.7 % after 24 months. In group III the success rate at the moment of discharge was 96.3 % but it dropped to 16.7 % after 24 months. In cases if target pressure could not be achieved the surgery was repeated. Conclusion. The absolute success originally achieved in all groups (96.3–98.4 %) was not persistent and after a 2-year observation, tended to disappear. The effect lasted longer in eyes after trabeculectomy with Glautex and Ex-PRESS. The hypotensive effect of primary antiglaucoma surgery was higher in penetrating operations.https://roj.igb.ru/jour/article/view/383глаукомасинустрабекулэктомиянепроникающая глубокая склерэктомияксенопластглаутексшунт ex-press |
| spellingShingle | T. V. Gavrilova K. S. Lyubimov S. N. Mukhamadeeva M. V. Chereshneva Using of modern types of drainage in glaucoma surgery: our experience Российский офтальмологический журнал глаукома синустрабекулэктомия непроникающая глубокая склерэктомия ксенопласт глаутекс шунт ex-press |
| title | Using of modern types of drainage in glaucoma surgery: our experience |
| title_full | Using of modern types of drainage in glaucoma surgery: our experience |
| title_fullStr | Using of modern types of drainage in glaucoma surgery: our experience |
| title_full_unstemmed | Using of modern types of drainage in glaucoma surgery: our experience |
| title_short | Using of modern types of drainage in glaucoma surgery: our experience |
| title_sort | using of modern types of drainage in glaucoma surgery our experience |
| topic | глаукома синустрабекулэктомия непроникающая глубокая склерэктомия ксенопласт глаутекс шунт ex-press |
| url | https://roj.igb.ru/jour/article/view/383 |
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