Refractory glaucoma laser treatment: together or instead?
Purpose. To present data on the mechanism of action, hypotensive efficacy and safety of various laser technologies used in the treatment of refractory glaucoma. Material and methods. To complete the review, weearched for literature sources on the e-library, PubMed and Scopus abstract databases for t...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Publishing house "Ophthalmology"
2021-12-01
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| Series: | Офтальмохирургия |
| Subjects: | |
| Online Access: | https://www.ophthalmosurgery.ru/jour/article/view/814 |
| Summary: | Purpose. To present data on the mechanism of action, hypotensive efficacy and safety of various laser technologies used in the treatment of refractory glaucoma. Material and methods. To complete the review, weearched for literature sources on the e-library, PubMed and Scopus abstract databases for the period up to 2021 inclusive, using the keywords «refractory glaucoma», «cyclodestructive procedures», «micropulse transscleral cyclophotocoagulation», «diode transscleral cyclophotocoagulation». Fifty- eight articles related to the topic of the review were selected. The beginning of publications on this topic dates back to 1972. Results. The review presents an analysis of the results of clinical studies of the efficacy and safety of various laser technologies used in the treatment of refractory glaucoma, with a description of the mechanisms for reducing intraocular pressure. A number of advantages of micropulse modification of transscleral cyclocoagulation in comparison with other laser cyclodestructive interventions are described. The prospects of laser surgery for refractory glaucoma are shown, both as an independent method of treatment, and in combination with various types of surgical operations. Conclusion. In some cases, laser surgery of refractory glaucoma is the only method that allows for organ-preserving or functionally preserving surgery. The search and development of new combined methods for the treatment of refractory glaucoma, combining microsurgical and laser effects, are urgent. |
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| ISSN: | 0235-4160 2312-4970 |