Combined surgical intervention at terminal glaucoma

• Main Authors: O. A. Kiseleva, A. M. Bessmertny, S. M. Kosakyan, I. S. El-Aidi
• Format: Article
• Language: Russian
• Published: Ophthalmology Publishing Group 2014-07-01
• Series: Oftalʹmologiâ
• Subjects: glaucoma; cyclocryocoagulation; cyclodialysis
• Online Access: http://www.ophthalmojournal.com/index.php/opht/article/view/151

<p><strong>Purpose</strong>: to investigate hypotensive efficiency of new surgical intervention at terminal primary and neovascular glaucoma.<br /><strong>Methods</strong>. Operation has been executed on 35 eyes of 35 patients with terminal primary (23 eyes) and secondary (12 eyes) neo- vascular glaucoma. A fornix based conjunctival flap was prepared in inferior part of a limbus. 1.5 mm transparent scleral incision 3 mm from limbus was performed. Goniocyclodialysis with spatula was carrying out. then 0.3 ml of viscoelastic solution was entered in cyclodialysis cleft. On sclera put cryoapplications, located in two ranks (on 6 in everyone). the period of postoperative follow-up has averaged 15.6±1.3 <strong>months.</strong><br /><strong>Results:</strong> In 1 month IOP did not exceed 25 mm hg and the painful syndrome has been stopped in all cases. In 1 year after operation normalization IOP took place on 27 eyes (77.2%), from them on 8 was local hypotensive therapy added. With 8 patients (22.8%) IOP instillation of 2 preparations remained at level of 28-30 mm Hg, however the painful syndrome was absent.<br /><strong>Conclusion</strong>: Long-term hypotensive effect of new operation is reached at the expense of the double mechanism: reduction of production of aqueous humor for the account cryopexy of ciliary body and improvements aqueous outflow for formations cyclodialysis cleft.</p>