The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects

The presence of a balance between the production and outflow of intraocular fluid ensures stability of the level of intraocular pressure (IOP). To reduce IOP means to affect one of these variables. For many decades, transscleral technologies in the treatment of glaucoma were considered exclusively a...

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Main Authors: Yusef Naim Yusef, A. A. Gamidov, M. A. Karpilova, P. D. Gavrilina
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2021-10-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/1645
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author Yusef Naim Yusef
A. A. Gamidov
M. A. Karpilova
P. D. Gavrilina
author_facet Yusef Naim Yusef
A. A. Gamidov
M. A. Karpilova
P. D. Gavrilina
author_sort Yusef Naim Yusef
collection DOAJ
description The presence of a balance between the production and outflow of intraocular fluid ensures stability of the level of intraocular pressure (IOP). To reduce IOP means to affect one of these variables. For many decades, transscleral technologies in the treatment of glaucoma were considered exclusively as traumatic cyclodestructive interventions that only affect the reduction of intraocular pressure (IOP). These methods have recently been considered as possible ways to influence uveoscleral outflow. This became possible due to the appearance of new lasers, the development of new modes of their operation, points of application in the projection of the pars plana of the ciliary body (for example, TRANS-scleral CFC in micro-pulse mode at λ = 810 µm and CFC using pulsed periodic laser radiation at λ = 1.56 µm). They have a gentler effect and, accordingly, cause fewer side effects and undesirable effects. This explains the increasing shift towards the use of transscleral technologies in the earlier stages of glaucoma, not only for end-stage painful glaucoma resistant to conventional treatment (so-called “last resort surgery”).
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spelling doaj.art-50b4d20420394d2daad6fb76633ca0b62024-10-17T16:12:00ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452021-10-01183S69570210.18008/1816-5095-2021-3S-695-702813The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, ProspectsYusef Naim Yusef0A. A. Gamidov1M. A. Karpilova2P. D. Gavrilina3Research Institute of Eye DiseasesResearch Institute of Eye DiseasesResearch Institute of Eye DiseasesResearch Institute of Eye DiseasesThe presence of a balance between the production and outflow of intraocular fluid ensures stability of the level of intraocular pressure (IOP). To reduce IOP means to affect one of these variables. For many decades, transscleral technologies in the treatment of glaucoma were considered exclusively as traumatic cyclodestructive interventions that only affect the reduction of intraocular pressure (IOP). These methods have recently been considered as possible ways to influence uveoscleral outflow. This became possible due to the appearance of new lasers, the development of new modes of their operation, points of application in the projection of the pars plana of the ciliary body (for example, TRANS-scleral CFC in micro-pulse mode at λ = 810 µm and CFC using pulsed periodic laser radiation at λ = 1.56 µm). They have a gentler effect and, accordingly, cause fewer side effects and undesirable effects. This explains the increasing shift towards the use of transscleral technologies in the earlier stages of glaucoma, not only for end-stage painful glaucoma resistant to conventional treatment (so-called “last resort surgery”).https://www.ophthalmojournal.com/opht/article/view/1645transscleral cyclophotocoagulationglaucomascleraciliary bodylaseruveoscleral drainagescleral permeability
spellingShingle Yusef Naim Yusef
A. A. Gamidov
M. A. Karpilova
P. D. Gavrilina
The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
Oftalʹmologiâ
transscleral cyclophotocoagulation
glaucoma
sclera
ciliary body
laser
uveoscleral drainage
scleral permeability
title The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
title_full The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
title_fullStr The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
title_full_unstemmed The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
title_short The Place of Transscleral Technologies in Laser Treatment of Glaucoma: History, Stages of Development, Prospects
title_sort place of transscleral technologies in laser treatment of glaucoma history stages of development prospects
topic transscleral cyclophotocoagulation
glaucoma
sclera
ciliary body
laser
uveoscleral drainage
scleral permeability
url https://www.ophthalmojournal.com/opht/article/view/1645
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