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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">glaucoma</journal-id><journal-title-group><journal-title xml:lang="ru">Национальный журнал Глаукома</journal-title><trans-title-group xml:lang="en"><trans-title>National Journal glaucoma</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-4104</issn><issn pub-type="epub">2311-6862</issn><publisher><publisher-name>Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.53432/2078-4104-2023-22-1-92-102</article-id><article-id custom-type="elpub" pub-id-type="custom">glaucoma-439</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>О переходе к хирургическому этапу лечения глаукомы</article-title><trans-title-group xml:lang="en"><trans-title>Moving on to surgical stage of glaucoma treatment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6842-7164</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Еричев</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Erichev</surname><given-names>V. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н., профессор, руководитель научного направления.</p><p>119021, Российская Федерация, Москва, ул. Россолимо, д. 11, корп. А, Б</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor, Head of Scientific Direction.</p><p>11A Rossolimo St., Moscow, Russian Federation, 119021</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Басинский</surname><given-names>С. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Basinsky</surname><given-names>S. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Д.м.н., профессор, профессор кафедры специализированных хирургических дисциплин.</p><p>302026, Российская Федерация, Орел, ул. Комсомольская, д. 95</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor, Professor at the Academic Department of Specialized Surgical Disciplines.</p><p>95 Komsomolskaya St., Orel, Russian Federation, 302026</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куроедов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kuroyedov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Куроедов Александр Владимирович - д.м.н., начальник офтальмологического центра; профессор кафедры офтальмологии.</p><p>117997, Российская Федерация, Москва, ул. Островитянова, д. 1</p><p>107014, Российская Федерация, Москва, ул. Б. Оленья, д. 8А</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor at the Academic Department of Ophthalmology; Head of the Ophthalmology Center.</p><p>1 Ostrovityanova St., Moscow, Russian Federation, 117997</p><p>8A Bolshaya Olenya St., Moscow, Russian Federation, 107014</p></bio><email xlink:type="simple">akuroyedov@hotmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «НИИГБ им. М.М. Краснова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Krasnov Research Institute of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «ОГМУ им. Тургенева» (Медицинский институт) Минобрнауки России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Institute of the Turgenev State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО «РНИМУ им. Н.И. Пирогова» Минздрава России; ФКУ «ЦВКГ им. П.В. Мандрыка» Минобороны России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Mandryka Central Clinical Military Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>23</day><month>03</month><year>2023</year></pub-date><volume>22</volume><issue>1</issue><fpage>92</fpage><lpage>102</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Еричев В.П., Басинский С.Н., Куроедов А.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Еричев В.П., Басинский С.Н., Куроедов А.В.</copyright-holder><copyright-holder xml:lang="en">Erichev V.P., Basinsky S.N., Kuroyedov A.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.glaucomajournal.ru/jour/article/view/439">https://www.glaucomajournal.ru/jour/article/view/439</self-uri><abstract><p>Принятие решения о необходимости проведения хирургического лечения у пациентов с глаукомой является непростым решением, взвешенный подход к которому обоснован на многочисленных объективных и, к сожалению, субъективных факторах. Лечебные подходы в современной глаукоматологии временно, и, как нам кажется, уже достаточно давно сместились в сторону выбора активной наблюдательной терапевтической стратегии, что принесло свои негативные результаты, выражающиеся в ухудшении результатов хирургического лечения. Вместе с тем очевидно, что не все показания для оперативного лечения имеют одинаковый «вес», что также определяет необходимость дифференцированного подхода. Дискуссия о времени принятия решения для перехода к хирургической тактике лечения глаукомы многократно обсуждалась, обсуждается и будет обсуждаться в профессиональных кругах, обрастая новыми аргументами вследствие уточнения патофизиологии глаукомной оптической нейропатии, активного применения междисциплинарных подходов, появления новых инструментов, приборов и технологий, вкупе с совершенствование хирургических навыков, увеличением продолжительности жизни населения и необходимостью рациональной оценки социально-экономических ресурсов государства и индивидуума. В этом обзоре представлены обобщенный опыт и собственная точка зрения авторов на данную проблему.</p></abstract><trans-abstract xml:lang="en"><p>Making a decision about the need for surgical intervention in glaucoma patients is not easy, and the rationale for it involves a balanced approach based on numerous objective, as well as, unfortunately, subjective factors. Therapeutic approaches in modern glaucomatology have temporarily, and as it seems, for quite some time, have shifted towards active observational therapeutic strategy, which brought negative results expressed in deteriorating outcomes of surgical treatment. At the same time, it is obvious that not all indications for surgical treatment have the same "weight", which also determines the need for a differentiated approach. The discussion about the decisionmaking time for transition to surgical tactics of glaucoma treatment has been repeatedly discussed, is being discussed, and will continue to be discussed in the professional circles, with new arguments arising due to clarification of the pathophysiology of glaucomatous optic neuropathy, active use of interdisciplinary approaches, emergence of new tools, devices and technologies, coupled with improvement of surgical skills, increase in the life expectancy of the population, as well as the need for rational assessment of socio-economic resources of the state and the individual. This review describes the generalized experience and the authors' own point of view on this problem.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>глаукома</kwd><kwd>хирургия глаукомы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>glaucoma</kwd><kwd>glaucoma surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Shaffer R.N. Indication for operation for glaucoma. Calif Med 1962; 97(6):343-345</mixed-citation><mixed-citation xml:lang="en">Shaffer R.N. Indication for operation for glaucoma. Calif Med 1962; 97(6):343-345</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Hitchings R.A. Primary surgery for primary-open glaucoma – justifield or not. Br J Ophthalmology 1993; 77:445-448. https://doi.org/10.1136/bjo.77.7.445</mixed-citation><mixed-citation xml:lang="en">Hitchings R.A. 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