Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation
Objective: to analyze the results of treatment in patients with refractory glaucoma of various stages of the disease by microimpulse cyclophotocoagulation.Patients and methods. We examined 43 patients aged 68.5 ± 13.2 years with primary open-angle repeatedly operated subcompensated glaucoma (POAG) o...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2022-07-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/1853 |
| _version_ | 1797875414253699072 |
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| author | I. E. Ioshin A. I. Tolchinskaya I. V. Maximov |
| author_facet | I. E. Ioshin A. I. Tolchinskaya I. V. Maximov |
| author_sort | I. E. Ioshin |
| collection | DOAJ |
| description | Objective: to analyze the results of treatment in patients with refractory glaucoma of various stages of the disease by microimpulse cyclophotocoagulation.Patients and methods. We examined 43 patients aged 68.5 ± 13.2 years with primary open-angle repeatedly operated subcompensated glaucoma (POAG) of advanced (13) and advanced (30) stages before and after performing MCPC (SUPRA 810 device, QuantelMedical, France) using standard laser parameters: energy W = 2000 MJ, 31.3 % — duty cycle, exposure time — 80 seconds per hemisphere.Results. The operation and postoperative period were uneventful. The hypotensive effect was achieved in all cases up to 6 months of follow-up. In the advanced stage of the disease, IOP decreased from 26.8 ± 7.8 mm Hg to an average of 17.1 ± 8.1 mm Hg (p < 0.05), and the amount of antihypertensive agents decreased from 2.89 ± 0.74 to 2.4 ± 0.6. in patients with advanced stage, IOP decreased from 29.9 ± 7.8 mm Hg to 21.0 ± 8.3 mm Hg (p < 0.05), and the amount of antihypertensive agents decreased from 3.1 ± 0.4 to 2.8 ± 0.5. The maximum corrected visual acuity (MCI) in all patients remained at the preoperative level during the entire follow-up period.Conclusion. Analysis of the results has shown that the use of microcyclophotocoagulation in patients with refractory glaucoma has not led to the development of postoperative complications, reduced intraocular pressure by 36.2 % from baseline, when developed and 29.8 % in advanced stages of the disease, reduced the number of antihypertensive drugs was 17 % in the second and 10 % at third stage and have not led to a decrease in visual function at 6 months follow-up. Thus, it is proved that the use of a diode laser in micro-pulse mode during microcyclophotocoagulation is a safe and effective method of treating refractory forms of glaucoma at various stages of the disease. |
| first_indexed | 2024-04-10T01:46:09Z |
| format | Article |
| id | doaj.art-e4d59e70a3f14abfb80ab3ca22028fe2 |
| institution | Directory Open Access Journal |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| last_indexed | 2024-04-10T01:46:09Z |
| publishDate | 2022-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj.art-e4d59e70a3f14abfb80ab3ca22028fe22023-03-13T09:08:43ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452022-07-0119231832410.18008/1816-5095-2022-2-318-324905Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral CyclophotocoagulationI. E. Ioshin0A. I. Tolchinskaya1I. V. Maximov2ФГБУ «Клиническая больница» Управления делами Президента Российской ФедерацииФГБУ «Клиническая больница» Управления делами Президента Российской ФедерацииФГБУ «Клиническая больница» Управления делами Президента Российской ФедерацииObjective: to analyze the results of treatment in patients with refractory glaucoma of various stages of the disease by microimpulse cyclophotocoagulation.Patients and methods. We examined 43 patients aged 68.5 ± 13.2 years with primary open-angle repeatedly operated subcompensated glaucoma (POAG) of advanced (13) and advanced (30) stages before and after performing MCPC (SUPRA 810 device, QuantelMedical, France) using standard laser parameters: energy W = 2000 MJ, 31.3 % — duty cycle, exposure time — 80 seconds per hemisphere.Results. The operation and postoperative period were uneventful. The hypotensive effect was achieved in all cases up to 6 months of follow-up. In the advanced stage of the disease, IOP decreased from 26.8 ± 7.8 mm Hg to an average of 17.1 ± 8.1 mm Hg (p < 0.05), and the amount of antihypertensive agents decreased from 2.89 ± 0.74 to 2.4 ± 0.6. in patients with advanced stage, IOP decreased from 29.9 ± 7.8 mm Hg to 21.0 ± 8.3 mm Hg (p < 0.05), and the amount of antihypertensive agents decreased from 3.1 ± 0.4 to 2.8 ± 0.5. The maximum corrected visual acuity (MCI) in all patients remained at the preoperative level during the entire follow-up period.Conclusion. Analysis of the results has shown that the use of microcyclophotocoagulation in patients with refractory glaucoma has not led to the development of postoperative complications, reduced intraocular pressure by 36.2 % from baseline, when developed and 29.8 % in advanced stages of the disease, reduced the number of antihypertensive drugs was 17 % in the second and 10 % at third stage and have not led to a decrease in visual function at 6 months follow-up. Thus, it is proved that the use of a diode laser in micro-pulse mode during microcyclophotocoagulation is a safe and effective method of treating refractory forms of glaucoma at various stages of the disease.https://www.ophthalmojournal.com/opht/article/view/1853глаукома рефрактерная развитаядалекозашедшаямикроимпульсная циклофотокоагуляция |
| spellingShingle | I. E. Ioshin A. I. Tolchinskaya I. V. Maximov Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation Oftalʹmologiâ глаукома рефрактерная развитая далекозашедшая микроимпульсная циклофотокоагуляция |
| title | Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation |
| title_full | Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation |
| title_fullStr | Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation |
| title_full_unstemmed | Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation |
| title_short | Comparative Analysis of Treatment of Patients with Refractory Glaucoma of Various Stages by Microimpulse Transscleral Cyclophotocoagulation |
| title_sort | comparative analysis of treatment of patients with refractory glaucoma of various stages by microimpulse transscleral cyclophotocoagulation |
| topic | глаукома рефрактерная развитая далекозашедшая микроимпульсная циклофотокоагуляция |
| url | https://www.ophthalmojournal.com/opht/article/view/1853 |
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