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2015, №š12š(187)



Kanyukova Yu.V., Kadnikova O.V. SELECTIVE LASER TRABECULOPLASTY AS A TREATMENT MODE FOR PRIMARY OPEN-ANGLE GLAUCOMA (THE RESULTS OF 6šMONTHS FOLLOW UP)Glaucoma is one of the most common eye diseases, often resulting in low vision, blindness and disability. Among the clinical forms of the disease the primary open angle glaucoma (POAG) accounts for 72š% of all glaucoma cases. According to some researchers, selective laser trabeculoplasty (SLT) is a safe alternative for anti-glaucoma medications in the treatment of POAG. SLT was performed in 90špatients (125šeyes) aged 18što 85šyears (48šmales and 52šfemales). The first stage of glaucoma was registered on 49 eyes (39.2š%), the second stageš— 46šeyes (36.8š%) and the third oneš— 30šeyes (24.0š%). IOP was 20što 35šmmšHg. The patients underwent surgery had the following comorbidities: cataractš— 34šeyes (27.2š%), myopiaš— 35šeyes (28.0š%), hyperopiaš— 23šeyes (18.4š%), pseudophakiaš— 9šeyes (7.2š%), presbyopiaš— 11šeyes (8.8š%), pseudoexfoliation syndromeš— 13šeyes (10.4š%). The laser parameters were adapted for the selective impact on the trabecular pigmented cells, without coagulate damage of structure of trabecular meshwork or non-pigmented cells. All patients were examined at 1šday, 1, 3 and 6šmonths after surgery. SLT is an effective and safe laser surgery in patients with early stage of POAG. Using SLT the target pressure has been achieved in 88š% of cases. IOP compensation was noticed by the end of the first day after surgery and was stable, while maintaining therapeutic regimen or its weakening during follow up period (6šmonths). An important indicator of SLT efficacy is improvement of visual acuity and widening of limits of field of view. Selective laser trabeculoplasty may be inappropriate for patients with previously operated far-advanced glaucoma and on the background of diabetic retinopathy due to the presence of goniosynechia, neovascularization and high proliferative activity. Key words: laser treatment, selective laser trabeculoplasty, primary open-angle glaucoma, intraocular pressure, hypotensive therapy.

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About this article

Authors: Kanyukova Yu.V., Kadnikova O.V.

Year: 2015

Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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