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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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References:

1. Erichev V.P., Egorov E.A. On the pathogenesis of primary open angle glaucoma // Vestnik oftal'mologii.š— 2014.š— №6.š— P.98-104.

2. Kazaryan E.E. Modern methods for primary open angle glaucoma monitoring // Vestnik oftal'mologii.š— í.: Meditsina, 2009.š— №4.š— P.40-44.

3. Nesterov A.P., Egorov E.A., Novoderezhkin V.V. Laser methods of activation of intraocular fluid outflow // Klinicheskaya oftal'mologiya.š— 2005.š— №1.š— P.16-17.

4. Glaucoma national guidelines: for medical practitioners /edited by E.A. Egorov, Yu.S. Astakhov, V.P. Erichev å.á.š— í.: GEOTARš— Media, 2015.š— P.247-249.

5. Takhchidi E.Kh., Sarkizova M.B., Ereskin N.N., Klyuganov V.S. The structure of glaucoma incidence at present and its treatment on the basis of technologies of FSBI "IRTC "Eye Microsurgery"(according to the parent organization data) // "Fyodorovskie chteniyaš— 2012" Theses of reportsš— í.: Oftal'mologiya, 2012.š— P.36-37.

6. Deputatova A.N., Al'-Rashid Z.Zh., Ilyukhina O.S. Selective laser trabeculoplasty in glaucoma treatment // "Fyodorovskie chteniya -2011" Theses of reportsš— í.: Oftal'mologiya, 2011.š— P.300.

7. Lipner M. Open the eyes to SLT at glaucoma //Eye world.š— December 2010.š— P.17-19.

8. Shpak A.A., Sevost'yanova M.K., Usol'tseva E.A., Abdulsadykova A.K. Combined assessment of early-stage primary open-angle glaucoma progression// Vestnik Oftal'mologii.š— í.: Media Sfera, 2014. №4.š— P.14-18.

9. Shcherbakova S.Yu., Kharintseva S.V. The efficacy of selective trabeculoplasty in the treatment of unstabilized open-angle glaucoma // Proceedings of research and practice conf. with international participation "East-West".š— Ufa, 2011.š— P. 212-214.

10. Kuroedov A.V. Pharmacoeconomic study of application of fixed combination of latanoprost/timolol (xalacom) in glaucoma // Glaucoma news.š— 2011.š— №2.š— P.3-4.

11. Egorova T.E. Prostaglandins in the treatment of glaucoma //Klin. Oftal'mol.š— 2004.š— №3.š— P.127-131.

12. Kurysheva N.I., Topol'nik E.V., Trubilin V.N. Selective laser trabeculoplasty in patients with pseudophakic: features of the postoperative period and long-term results // Proceedings of research and practice conf. with international participation "East-West".š— Ufa, 2011.š— P. 190-192.

13. Latina M., Park C. Selective Targeting of trabecular meshwork cells: in vitro studies of pulsed and CW laser interactions //Exp. Eye Res.š— 1995.š— Vol. 60š— P. 359-372.

14. Latina M.A., Sibayan S., Dong H. et al. Q-switched 532-nm Nd:YAG laser trabeculoplasty (selective laser trabeculoplasty) // Ophthalmology.š— 1998.š— Vol. 105, № 11.š— P. 2082š—2090.

15. Kurmangalieva M.M., Umbetiar A.B. Possibilities of application of selective laser trabeculoplasty in patients with different types of primary glaucoma // Proceedings of research and practice conf. with international participation "East-West".š— Ufa, 2012.š— P. 218-219.

16. Dolzhich G.I., Osipova E.N. Comparative characteristics of selective and argon-laser trabeculoplasty in primary open-angle glaucoma // Glaucoma.š— 2008.š— №3.š— P.29-32.

17. Kurmangalieva M.M., Umbetiar A.B. The results of application of selective laser trabeculoplasty in patients with glaucoma // "Fyodorovskie chteniyaš— 2012" Theses of reportsš— í.: "Oftal'mologiya", 2012.š— P.182-183.

18. Chugunova I.I., Yanenko M.V., Savchenko S.F. Gradual and selective laser trabeculoplasty and transscleral diode cyclophotocoagulation in the treatment of advanced-stage primary open angle glaucoma // IX Congress of Russian ophthalmologists: theses of reports.š— í., 2010.š— P.183.


About this article

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

Year: 2015

Editor-in-chief
Sergey Aleksandrovich
MIROSHNIKOV

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