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2015, №š12š(187)



Bikbov M.M., Khusnitdinov I.I. CANALOPLASTY IN PATIENTS WITH PRIMARY OPEN ANGLE GLAUCOMAGlaucoma is the leading cause of irreversible blindness in the world. Advanced techniques in primary open angle glaucoma surgery tend to minimize the incisions and restore the natural outflow pathways of intraocular aqueous humour. The article presents the results of canaloplasty with the Glaucolight system in 31špatients (35šeyes) with primary open angle glaucoma (POAG). The average age of patients was 57.1š±š6.3šyears. There was an initial stage of POAG in 22šcases, developedš— in 8šcases, far-advancedš— in 5šcases. None of the patients underwent antiglaucomatous operations previously. Postoperatively, increased intraocular pressure (IOP) in all patients was managed. The field of view had no changes. Visual acuity was corresponded to preoperative visual acuity. Two cases (5.7š%) showed IOP increase in 1šmonth after the surgery. Laser descemetogoniopuncture was performed and IOP normalized. Increased up-to 27šmmšHg. IOP was noticed in 4šcases (11.4š%) after 12šmonths after the surgery. Antihypertensive drugs were prescribed for 2šeyes; 2špatients underwent reoperationš— sinus trabeculectomy with implantation of drainage. Canaloplasty helps to restore the natural outflow pathways of intraocular aqueous humour without the creation of the filtering bleb by increasing the permeability of the trabecular meshwork, preventing re-collapse of Schlemm's canal and occlusion of the mouth of the collector channels. óanaloplasty efficiency in patients with POAG in follow-up period up to 18šmonths in absolute terms amounted to 83š% and with an additional treatmentš— 94š%.Key words: canaloplasty, Glaucolight, primary open-angle glaucoma, Schlemm's canal.

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About this article

Authors: Husnitdinov I.I., Bikbov M.M.

Year: 2015

Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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