COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY

Purpose. Development of a new method for the combined treatment of cataract and glaucoma with a drainage of suprachoroidal space using the autoscleral flap and evaluation of the results in combined surgical treatment of patients operated on phacoemulsification combined with deep non-penetrating scle...

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Main Authors: M. A. Frolov, A. M. Frolov
Format: Article
Language:Russian
Published: Publishing house "Ophthalmology" 2017-01-01
Series:Офтальмохирургия
Subjects:
Online Access:https://www.ophthalmosurgery.ru/jour/article/view/289
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author M. A. Frolov
A. M. Frolov
author_facet M. A. Frolov
A. M. Frolov
author_sort M. A. Frolov
collection DOAJ
description Purpose. Development of a new method for the combined treatment of cataract and glaucoma with a drainage of suprachoroidal space using the autoscleral flap and evaluation of the results in combined surgical treatment of patients operated on phacoemulsification combined with deep non-penetrating sclerectomy and drainage of the suprachoroidal space by means of the autoscleral flap.Material and methods. The study evaluated results of the surgical treatment of cataract combined with glaucoma in 38 patients (36 eyes) who underwent the simultaneous phacoemulsification with nonpenetrating deep sclerectomy and drainage of the suprachoroidal space.Results. In the long-term postoperative period (11 months) an IOP normalization (16.0±2.3mmHg) occurred in 36 patients and in two cases there was noted an IOP elevation, that entailed the hypotensive therapy using β-blockers.Conclusion. Non-penetrating deep sclerectomy with suprachoroidal space drainage using the autoscleral flap allows to achieve a stable hypotensive effect and does not require the application of donor material.
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spelling doaj.art-bae4a867672e49749d4fd543cf0920ea2023-01-20T12:34:47ZrusPublishing house "Ophthalmology"Офтальмохирургия0235-41602312-49702017-01-01041215259COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAYM. A. Frolov0A. M. Frolov12Russian University of Peoples’ FriendshipRussian University of Peoples’ Friendship; V.M . Buyanov City Clinic Hospital No. 12, MoscowRussian University of Peoples’ FriendshipPurpose. Development of a new method for the combined treatment of cataract and glaucoma with a drainage of suprachoroidal space using the autoscleral flap and evaluation of the results in combined surgical treatment of patients operated on phacoemulsification combined with deep non-penetrating sclerectomy and drainage of the suprachoroidal space by means of the autoscleral flap.Material and methods. The study evaluated results of the surgical treatment of cataract combined with glaucoma in 38 patients (36 eyes) who underwent the simultaneous phacoemulsification with nonpenetrating deep sclerectomy and drainage of the suprachoroidal space.Results. In the long-term postoperative period (11 months) an IOP normalization (16.0±2.3mmHg) occurred in 36 patients and in two cases there was noted an IOP elevation, that entailed the hypotensive therapy using β-blockers.Conclusion. Non-penetrating deep sclerectomy with suprachoroidal space drainage using the autoscleral flap allows to achieve a stable hypotensive effect and does not require the application of donor material.https://www.ophthalmosurgery.ru/jour/article/view/289glaucomanon-penetrating deep sclerectomysuprachoroidal spaceauto-scleraintraocular pressureglaucoma drainage surgery
spellingShingle M. A. Frolov
A. M. Frolov
COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
Офтальмохирургия
glaucoma
non-penetrating deep sclerectomy
suprachoroidal space
auto-sclera
intraocular pressure
glaucoma drainage surgery
title COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
title_full COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
title_fullStr COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
title_full_unstemmed COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
title_short COMBINED SURGICAL TREATMENT OF GLAUCOMA WITH CATARACT AS ACTIVATION OF UVEOSCLERAL OUTFLOW PATHWAY
title_sort combined surgical treatment of glaucoma with cataract as activation of uveoscleral outflow pathway
topic glaucoma
non-penetrating deep sclerectomy
suprachoroidal space
auto-sclera
intraocular pressure
glaucoma drainage surgery
url https://www.ophthalmosurgery.ru/jour/article/view/289
work_keys_str_mv AT mafrolov combinedsurgicaltreatmentofglaucomawithcataractasactivationofuveoscleraloutflowpathway
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