glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”glaucoma-389Research ArticleСтатьиОсобенности послеоперационного периода при хирургии глаукомы у пациента с синдромом Стердж-Вебера (клинический случай)Features of the postoperative period of a patient with Sturge-Weber syndrome after glaucoma surgery (clinical case)https://orcid.org/0000-0002-4496-0703СтаростинаАнна ВладимировнаStarostinaAnnaanna.mntk@mail.ruhttps://orcid.org/0000-0003-4348-3973КлепининаОльга БорисовнаKlepininaOlyaolya-klepinina@yandex.ruСидороваАлла ВалентиновнаSidorovaAllasidorova@mntk.ruhttps://orcid.org/0000-0002-7770-575XХабазоваМаргарита РобертовнаKhabazovaMargaritarita.khabazova@mail.ruhttps://orcid.org/0000-0002-3172-3880АрисовАлексей АндреевичArisovAlekseidocarisov@gmail.comhttps://orcid.org/0000-0003-3180-109XСтефанковаКсения АлексеевнаStefankovaKseniakstiefankova@bk.ruФГАУ "НМИЦ "МНТК "Микрохирургия глаза" им. акад. С.Н. Федорова" Минздрава РоссииРоссияS.N. Fedorov National Medical Research Center "MNTK "Eye Microsurgery"Russian FederationФГБОУ ВО МГМСУ им. А.И. Евдокимова Минздрава РоссииРоссия“A.I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russian FederationRussian Federation202218042023213389Copyright © Старостина А.В., Клепинина О.Б., Сидорова А.В., Хабазова М.Р., Арисов А.А., Стефанкова К.А., 20222022Старостина А.В., Клепинина О.Б., Сидорова А.В., Хабазова М.Р., Арисов А.А., Стефанкова К.А.Starostina A., Klepinina O., Sidorova A., Khabazova M., Arisov A., Stefankova K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.glaucomajournal.ru/jour/article/view/389ЦЕЛЬ

ЦЕЛЬ. Оценить эффективность хирургического лечения вторичной глаукомы и представить особенности клиники послеоперационного периода у пациента с синдромом Стердж-Вебера (ССВ).

МЕТОДЫ

МЕТОДЫ. В «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» г. Москва проведено обследование пациента с ССВ, гемангиомой хориоидеи и декомпенсированной вторичной глаукомой и выполнено лечение: имплантация клапана Ahmed.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. На первые сутки после операции на левом глазу выявлено: гипотония, измельчение передней камеры, серозная цилиохориоидальная отслойка. Проведена задняя трепанация склеры, восстановлен объем передней камеры вискоэластиком. На следующие сутки нормализация ВГД и полное прилегание сосудистой оболочки, но обнаружена отслойка нейроэпителия в макулярной области, в связи назначены инъекции глюкокортикостероидов с положительным эффектом. Через 1 месяц после операции жалобы отсутствуют, оболочки прилежат, на левом глазу ВГД - 16 мм рт. ст. без гипотензивных капель, острота зрения на оба глаза 1,0.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Имплантация дренажного клапана Ahmed может применяться в лечении вторичной глаукомы у пациентов с ССВ с целью снижения ВГД и минимизации рисков развития осложнений.

PURPOSE

PURPOSE. To evaluate the effectiveness of surgical treatment of secondary glaucoma and to present the clinic features of the postoperative period of a patient with Sturge-Weber syndrome (SWS)

METHODS

METHODS. A patient with SWS, choroidal hemangioma and secondary glaucoma was examined and treated (Ahmed valve implantation) in the S.N. Fedorov National Medical Research Center "MNTK "Eye Microsurgery", Moscow.

RESULTS

RESULTS. On the first day after surgery on the left eye discovered: hypotension, decrease of the anterior chamber, serous choroidal detachment. Posterior scleral trepanation and injection of viscoelastic into the anterior chamber was performed. On the next day we got normalization IOP and complete choroidal attachment as a result of operation. But we got macular detachment of neuroepithelium, for this reason injections of glucocorticosteroids were performed with a positive effect. 1 month after surgery the retina and choroid are attached, IOP is 16 mm Hg on the left eye without hypotensive drops, visus for both eyes is 1.0.

CONCLUSION

CONCLUSION. Implantation of the Ahmed valve can be used in the treatment of secondary glaucoma in patients with SWS in order to reduce IOP and minimize the risks of complications.

 

 

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The authors declare that there are no conflicts of interest present.