A NEW APPROACH TO LASER TREATMENT OF OPEN-ANGLE GLAUCOMA
Journal: International bilingual medical journal "MEDICUS" (Vol.1, No. 22)Publication Date: 2018-07-06
Authors : Khomyakova E.N. Sergushev S.G.;
Page : 38-43
Keywords : glaucoma; laser hypotensive nonpenetrating sclerotomy; trabeculoplasty.;
Abstract
Relevance. Multivariate analysis showed that in nosological structure of disability-free in Russia takes leading place 41 % of glaucoma. The basis of glaucoma treatment is to normalize intraocular pressure and prevent further progression of glaucomatous optic neuropathy. Currently, there are three methods available to achieve these goals: medical, laser and surgical. Goal. To study the efficacy of Nonpenetrating Hypotensive Laser Sclerotomy (NGLS) in front of the previously held laser trabeculoplasty (LTP 270 °) are on drug therapy. Material and methods. The subjects were operated and 54 patients (102 eyes) with initial -38 eyes developed – 46 -18 eyes and far-advanced eye stages of glaucoma. 23 patients (46 eyes) instilled β- blockers, 28 (56 eyes) of prostaglandin analogues. Intraocular pressure was in the range of 27 ± 2,4 mm Hg. A standard eye examination, including optical coherence tomography (OCT), computerized perimetry. Results. Reduction of intraocular pressure was observed in 89 % of patients after 2 weeks. After NGLS and reached 19,5 ± 2,2 mm Hg, 1 month- 19,8 ± 2,1 mmHg, 3 months -16,7 ± 1,4 mm Hg, 6 months18,2 ± 3,6 mm Hg, after 9 months of 19,7 ± 3,5 mm Hg. By the end of the observation period parameters IOP remained within the normal range in 16 patients (21 eyes 20.6 %) drug therapy has not been used in 32 patients (67 eyes, 65.7 %) achieved normalization of intraocular pressure in combination with antihypertensive therapy, 9 patients (9 Eye 8.8 %) focused on surgical treatment. Decrease in visual acuity was found in (29 % -30 eye) to 0.18 ± 0.12, as a result of the development or progression of cataract. Conclusion. Nonpenetrating hypotensive laser sclerotomy (NGLS) allows metered, lower IOP at various stages of glaucoma to achieve controlled and persistent hypotensive effect.
Other Latest Articles
- COMBINED TREATMENT OF NEOVASCULAR GLAUCOMA IN DIABETES MELLITUS
- METHOD OF MICROSURGICAL RECONSTRUCTION IN COMPARISON WITH STANDARD TECHNIQUES IN THE SURGICAL TREATMENT OF MALIGNANT TUMORS OF THE ORAL CAVITY AND TONGUE IN “REPUBLICAN CLINICAL ONCOLOGICAL DISPENSARY NAMED AFTER S.G. PRIMUSHKO”
- THE STATISTICAL AND DEMOGRAPHIC ANALYSIS OF EPIDEMIOLOGICAL INDICATORS OF PROSTATE CANCER IN UDMURTIA
- METHOD OF THE ANALYSIS OF THE FUNCTIONAL HEMISPHERIC ASYMMETRY ON EEG IN THE RIGHT- AND LEFT-HANDERS
- SEX-AGE PECULIARITIES OF HEART RATE VARIABILITY INDICATORS IN ATHLETES
Last modified: 2018-09-17 22:15:51