glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”10.53432/2078-4104-2023-22-3-70-78glaucoma-427Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSХирургическое лечение глаукомы c применением дренажей у пациентов с артифакиейRisks in the surgical treatment of far-advanced glaucoma in the only seeing eyehttps://orcid.org/0000-0002-9833-6236ФроловМ. А.FrolovM. A.

д.м.н., профессор, заведующий кафедрой глазных болезней

117198, Москва, ул. Миклухо-Маклая, 6

Dr. Sci. (Med.), Professor, Head of the Academic Department of Eye Diseases

6 Miklukho-Maclaya St., Moscow, 117198

https://orcid.org/0000-0003-3940-0178КопченоваЮ. Г.KopchenovaYu. G.

ассистент кафедры глазных болезней; заведующая офтальмологическим отделением

17198, Москва, ул. Миклухо-Маклая, 6

132182, Москва, ул. Пехотная, 3

 Assistant Professor at the Academic Department of Eye DiseasesHead of the Department of Ophthalmology

6 Miklukho-Maclaya St., Moscow, 117198

3 Pekhotnaya St., Moscow, 132182

kopchenova.yulia@yandex.ruhttps://orcid.org/0000-0002-9227-1136ТолстыхМ. П.TolstykhM. P.

д.м.н., профессор, заведующий кафедрой анатомии человека лечебного факультета127479, Москва, ул. Делегатская, 20, стр. 1

Dr. Sci. (Med.), Professor, Head of the Academic Department of Human Anatomyof the Faculty of Medicine

20/1 Delegatskaya St., Moscow, 127479

https://orcid.org/0000-0003-0988-1361ФроловА. М.FrolovA. M.

к.м.н., доцент кафедры глазных болезней

117198, Москва, ул. Миклухо-Маклая, 6

Cand. Sci. (Med.), Associate Professor at the Academic Department of Eye Diseases

6 Miklukho-Maclaya St., Moscow, 117198

https://orcid.org/0000-0001-9171-6095ДуланиФ. Т.DulaniF. T

врач-ординатор кафедры глазных болезней

17198, Москва, ул. Миклухо-Маклая, 6

 

clinical resident at the Academic Department of Eye Diseases

6 Miklukho-Maclaya St., Moscow, 117198

https://orcid.org/0000-0002-5924-1242ТебуеваЛ. В.TebuevaL. V.

врач-офтальмолог офтальмологического отделения

132182 Москва, ул. Пехотная, 3

ophthalmologist at the Department of Ophthalmology

3 Pekhotnaya St., Moscow, 132182

https://orcid.org/0000-0003-1273-3909ИсаевА. Р.IsaevA. R.

врач-офтальмолог, аспирант кафедры офтальмологии

23995, Москва, ул. Баррикадная, 2/1

ophthalmologist, postgraduate student at the Academic Department of Ophthalmology

2/1 Barricadnaya St., Moscow, 123995

Российский университет дружбы народовРоссияPeoples' Friendship University of RussiaRussian FederationРоссийский университет дружбы народов, 1; 2ГБУЗ «Городская клиническая больница №52» ДЗМРоссияPeoples' Friendship University of Russia Moscow City Clinical Hospital No. 52Russian FederationМосковский государственный медико-стоматологический университет им. А.И. ЕвдокимоваРоссияA.I. Yevdokimov Moscow State University of Medicine and DentistryRussian FederationГБУЗ «Городская клиническая больница №52» ДЗМРоссияMoscow City Clinical Hospital No. 52Russian FederationФГБОУ ДПО РМАНПО Минздрава РоссииРоссияRussian Medical Academy of Continuous Professional EducationRussian Federation2023180420232237078Copyright © Фролов М.А., Копченова Ю.Г., Толстых М.П., Фролов А.М., Дулани Ф.Т., Тебуева Л.В., Исаев А.Р., 20232023Фролов М.А., Копченова Ю.Г., Толстых М.П., Фролов А.М., Дулани Ф.Т., Тебуева Л.В., Исаев А.Р.Frolov M.A., Kopchenova Y.G., Tolstykh M.P., Frolov A.M., Dulani F.T., Tebueva L.V., Isaev A.R.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/427

Обзор исследований, касающихся особенностей изменений анатомии глаза и гидродинамики внутриглазной жидкости у пациентов с артифакией и с присутствующими в данной группе пациентов возрастными изменениями. Наиболее трудно поддающейся лечению является рефрактерная глаукома, к которой, в том числе, относится глаукома на артифакичном глазу. Наиболее успешным методом лечения данной категории пациентов является дренажная хирургия. Нами проведен анализ отечественных и зарубежных исследований с описанием свойств и оценкой эффективности дренажных устройств от момента их изобретения до сегодняшних дней. Изучены работы, посвященные борьбе с рубцеванием хирургически сформированных путей оттока, в том числе с применением антиметаболитов и стероидов. Однако так как многообразие методов хирургического лечения не обеспечивает стойкого гипотензивного результата у пациентов с артифакией, дальнейший поиск оптимального дренажа остается актуальным.

This review summarizes the results of surgical treatment of faradvanced stage glaucoma in the only seeing eye. A literature search performed in the PubMed search engine and aimed at finding publications reporting the clinical outcomes of treatment in patients with glaucoma in the only seeing eye did yield sufficient data related to the topic. A comprehensive analysis of the available data was performed with an emphasis on the choice of treatment tactics and postoperative results at various times following a surgery. Several studies allowed to perform a comparison of the clinical advantages and costeffectiveness of medical treatment versus surgery for advanced glaucoma, as well as to assess potential risks and adverse outcomes such as glaucoma progression, postoperative scarring, hypotension and other complications. The results presented in this review suggest that common success criteria can provide uniformity in academic studies, but in daily clinical practice each glaucoma specialist must make a patientspecific decision in favor of either of these methods of treatment in order to guarantee an optimal result, both for the doctor and, of course, for the patient.

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