ACTUAL PROBLEMS OF PENETRATING AND NON-PENETRATING SURGERY AS METHODS OF CHOICE IN GLAUCOMA

Surgical methods for the treatment of glaucoma are used when other treatments are not effective to maintain intraocular pressure under control. Regardless of the method of choice of surgical treatment of glaucoma, penetrating and non-penetrating surgical intervention violates the integrity of the eyeball and causes a variety of complications. Some of these complications can threaten the vision as a whole. To keep complications to a minimum, it is important to know how to prevent, recognize and treat. One of the main problems of glaucoma surgery is scarring of the previously established ways of outflow of the experiences of all the researchers, who today are in search of new methods of prevention, means and methods for modulation of the process of excessive fibrosis of granulation tissue in the area of operations. The purpose of this article is to give an idea of some of the complications, advantages and disadvantages of the main methods of penetrating and non-penetrating surgical treatment, the use of different types of drains and the creation of new ways of outflow of intraocular fluid, which will help doctors in the future to improve the chosen techniques in the treatment of glaucoma patients in their clinical practice and to develop new methods against early scarring created outflow pathways and the extension of the hypotensive effect after surgery glaucoma.