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Turutina Al.O., Malishev A.S., Turutina An.O., Danielyan L.V. FEATURES OF APPLICATION OF SELECTIVE LASER TRABECULOPLASTY IN THE TREATMENT OF PATIENTS WITH PRIMARY MIXED GLAUCOMAThe article is devoted to features of laser treatment of patients with primary mixed glaucoma. .Results in laser treatment of two groups patients with primary mixed glaucoma were analyzed retrospectively. In the first group were 11 patients (17 eyes); second group had 14 patients (19 eyes). Baseline intraocular pressure amounted to Po = (24,5 ± 1.3) mm Hg. PT. in the first and second group. During the gonioscopy, all patients had the anterior chamber angle I — II degree of opening, pigmentation of anterior's chamber structures angle was (++)—(+++). All patients in every group were performed YAG — laser iridotomy, by the same doctor. Through 5 days, the second group of patients was followed by a second stage of laser irradiation — selective laser trabeculoplasty. Target pressure was achieved only in two eyes (9.7 %) of the first group. Patients of the second group achieved target pressure in 73.7 % of cases (14 eyes) and it amounted (18.5 ± 1.3) mm. Hg., through 1 month it was (17.7 ± 1.3) mm. Hg. PT. 3 months later C = 0.17 ± 0.03. Through 3 months, there were able to reduce the hypotensive regime in 3 eyes (15.8 %), carbonic anhydrase inhibitors were eliminated. We have repeated SLT In 2 eyes (10.5 %) after having increase of eye pressure through 6 months. After that, was achieved compensation of glaucoma process. Hypotensive effect wasn't achieved in 5 eyes (26.3 %), these patients have had hypotensive surgeries. It was shown that during the observation period of 12 months, two-stage laser irradiation in the treatment of patients with primary mixed glaucoma, high performance, and, therefore, should be more widely used in everyday practice.Key words: primary mixed glaucoma; YAG-laser iridotomy; selective laser trabeculoplasty; remote results.
References:
1. Balashevich L. I., Gatsu M. V., Izmailov A. S., Kachanov A. B. Laser treatment of glaucoma. — SPbMAPO, 2004. — С. 5 — 6.
2. Birich Т.А., Savich А.В., Batovskaya Е.С. Laser method of treatment primary open — angle glaucoma. RMG // Clinical ophthalmology. — 2012. — Т.13. — №3 — С.102-104.
3. Questions laser ophthalmology. — M., 2013. — P. 138-162.
4. Egorov Е.А. and other. Glaucoma. National text-book. Moscow, "GEOTAR-Media", 2015. — – С. 245 — 258.
5. Eve J Higgenbotham and Ijeoma M Asota, Argon Laser trabeculoplasty: a Proven, Effective Option in the treatment of Patient with Glaucoma. Glaucoma/ Surgical management. Volume two. 2009
6. Syril K Dorairai, CelsoTello, Jeffrey M. Selectiv Laser Trabeculoplasty.Glaucoma/ Surgical management. Volume two. 2009
7. Latina M, Sibayan S, et al. Q-Switched 532-nm Nd: YAG laser trabeculoplasty (selective laser trabeculoplasty): A multicenter, pilot, clinical study. Ophthalmology. 1998;105:2082-2088.
8. Shields MB. Cyclodestructive surgery for glaucoma: Past, present, and future. TransAmOphthalmolSoc. 1985;83:285-303.
9. Wise J, Witter S. Argon laser therapy for open-angle glaucoma. ArchOphthalmol. 1979;97:319-322.
10. Kurysheva N.I., Apostolova, A. S., Shatalov, E. O., Semenistay, A. A. Long-term results of selective trabeculoplasty in pseudoexfoliation glaucoma // National journal of glaucoma. — 2014. No. 1. P. 13-21.
11. Kurysheva N. I., Topolnik E. V., Tsaregorodtseva M. A. Selective laser trabeculoplasty as the procedure of choice in case of repeated interventions in primary open-angle glaucoma // HRT Club Russia — 2008. — M., 2008. Pp. 401 — 406.
12. Turutina Al.O., Malyshev A. S., Turutina An.O., Fadeeva A. V. Long-term results of selective laser trabeculoplasty. Vestnik of OSU. — 2014. — No. 12 Pp. 318-319.
13. Turutina Al.O., Malyshev A. S., Turutina An.O. Selective trabeculoplasty as a possible alternative to surgical treatment of primary open-angle glaucoma // IX Congress of ophthalmologists of Russia: abstracts. — M., 2010. — P. 179.
14. Lyubimova T. S. Selective laser activation of trabecula in the treatment of patients with primary open-angle glaucoma: author. dis. ... PhD. — M., 2010.
15. Nesterov A.P. Primary glaucoma. Moscow "Medicina", 1973. — С. 38-39
About this article
Authors: Malyshev A.S., Turutina Al.O., Turutina An.O., Danielyan L.V.
Year: 2015
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Editor-in-chief |
Sergey Aleksandrovich MIROSHNIKOV |
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