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Journal: International bilingual medical journal "MEDICUS" (Vol.1, No. 22)

Publication Date:

Authors : ;

Page : 38-43

Keywords : glaucoma; laser hypotensive nonpenetrating sclerotomy; trabeculoplasty.;

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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.

Last modified: 2018-09-17 22:15:51