glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”10.53432/2078-4104-2023-22-3-79-86glaucoma-471Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSРиски хирургического лечения глаукомы на единственном видящем глазу с далекозашедшей стадией заболеванияRisks in the surgical treatment of far-advanced glaucoma in the only seeing eyehttps://orcid.org/0000-0002-3667-2330ЗахидовА. Б.ZakhidovA. B.

к.м.н., врач-офтальмолог

100016, Ташкент, ул. Алимкент 1-тор, 32

Cand. Sci. (Med.), ophthalmologist

32 Alimkent 1-tor St., Tashkent,  100016

https://orcid.org/0000-0001-5930-420XИсаковИ. Н.IsakovI. N.

заведующий офтальмологическим отделением, врач-офтальмолог

654057, Новокузнецк, ул. Бардина, 38

ophthalmologist, Head of the Ophthalmological Department

28 Bardina St., Novokuznetsk, 654057

eyezz@mail.ruhttps://orcid.org/0000-0001-9606-0566КуроедовА. В.KuroyedovA. V.

д.м.н., начальник офтальмологического отделения профессор кафедры офтальмологии

107014, Москва, ул. Большая Оленья, 8А

117997, Москва, ул. Островитянова, 1

Dr. Sci. (Med.), Head of the Ophthalmological Department;Professor at the Academic Department of Ophthalmology

8А Bolshaya Olenya St., Moscow, 107014;

1 Ostrovityanova St., Moscow,  117997

https://orcid.org/0000-0002-3361-0070КаримовУ. Р.KarimovU. R.

к.м.н., врач-офтальмолог

120100, Гулистан, просп. Алишера Навои, 62

Cand. Sci. (Med.), ophthalmologist

62 Alishera Navoi Av., Gulistan, 120100

Глазная клиника ЧП «SAIF-OPTIMA»УзбекистанEye Clinic ChP SAIF-OPTIMA,UzbekistanГАУЗ КО НГКБ №1РоссияNovokuznetsk City Clinical Hospital No. 1Russian FederationФКУ ЦВКГ им. П.В. Мандрыка Минобороны России; ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России,РоссияMandryka Central Clinical Hospital; Pirogov Russian National Research Medical UniversityRussian FederationСырдарьинская областная офтальмологическая больницаУзбекистанSyrdarya Regional Ophthalmic HospitalUzbekistan2023190920232237986Copyright © Захидов А.Б., Исаков И.Н., Куроедов А.В., Каримов У.Р., 20232023Захидов А.Б., Исаков И.Н., Куроедов А.В., Каримов У.Р.Zakhidov A.B., Isakov I.N., Kuroyedov A.V., Karimov U.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/471

Цель обзора — обобщить результаты, полученные после проведенного хирургического лечения далекозашедшей стадии глаукомы на единственно видящем глазу. Поиск литературы, выполненный в поисковой системе PubMed и направленный на обнаружение публикаций, сообщающих о клинических результатах проведенного лечения у пациентов с глаукомой на единственно видящем глазу, не позволил нам найти достаточного объема такого рода исследований. Проведен всесторонний анализ имеющихся данных с акцентом на выбор тактики лечения и послеоперационные результаты в различные сроки после операции. Некоторые исследования позволили сравнить клиническую и экономическую эффективность медикаментозного лечения по сравнению с хирургическим лечением далекозашедшей стадии глаукомы, а также оценить вероятные риски и неблагоприятные исходы, такие как прогрессирование глаукомы, послеоперационное рубцевание, гипотонию и другие осложнения. Результаты, представленные в обзоре, позволяют сделать вывод, что общие критерии успеха могут обеспечить однородность в академических исследованиях, но в повседневной клинической практике каждый глаукоматолог должен индивидуально принимать решение в пользу того или иного метода лечения, чтобы гарантировать оптимальный результат, как для врача, так и, естественно, для пациента.

This review summarizes the results of surgical treatment of far-advanced 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 cost-effectiveness 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 patient-specific 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.