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2015, №12(187)



Zabolotniy A.G., Misakiyan K.S., Bronskaya A.N., Simonova A.N., Khristichenko E.Yu. METHODOLOGICAL ASPECTS AND ANALYSIS OF THE INEFFECTIVENESS OF THE IMPLANT IN THE SOFT DRAIN PRIMARY PENETRATING SURGERY BEFORE OPERATED OPEN ANGLE GLAUCOMA STAGE I–IIIScarring of the newly formed outflow tract for intraocular fluid (IOF)— the main cause of IOP decompensation after surgery. For S prevention and reduction a slowly absorbable "soft" drainage implant HealaFlow (Anteis, Switzerland) was applied. Analysis of the implant HealaFlow results in the filtering anti-glaucoma operations (FAGO) of non-penetrating type for patients with POAG of I–III stages. Materials and methods. 30patients (30eyes), 18men, 12women, 54–76years. 5patients with IIIstage were previously operated on for glaucoma. The follow-up period was more than 3months. Research methods included optical coherence tomography (OCT) of the anterior and posterior eye segment [VisanteTM OCT, RTVue Avanti (Optovue)]. In all cases stabilization of IOP— 16–18mm Hg was achieved. There were no surgical complications. At discharge, on the OCT in the operational area in 29patients was determined diffuse intraconjunctival cavity (ICC). Intrascleral cavity (ISC) was apposed to ICC filled with HealaFlow. 1patient (IOP of 29mmHg) was performed a revision of a surgery area. 1–3months after surgery in all eyes a bleb with height of 0.6–0.8mm with subconjunctival micro cavities was visualized. ISC in all patients was saved. All patients with POAG of III stage was underwent DGP up to 3months. The purpose IOP was achieved in 86% of cases. Implant HealaFlow when FAGO of non-penetrating type with POAG of I–IIIstages, including repeated, prevents the formation of cicatrical processes. Persistent hypotensive effect was achieved. It requires strict technology observance. Key words: innovations in ophthalmology, glaucoma surgery, drainage implants.

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About this article

Authors: Hristichenko E.Yu., Misakyan K.S., Zabolotniy A.G., Bronskaya A.N., Simonova A.N.

Year: 2015


Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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