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<article article-type="review-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">10.53432/2078-4104-2025-24-4-70-80</article-id><article-id custom-type="elpub" pub-id-type="custom">glaucoma-598</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>Воспаление и фильтрующая хирургия глаукомы. Часть 2: значение противовоспалительной терапии в хирургии глаукомы</article-title><trans-title-group xml:lang="en"><trans-title>Inflammation and glaucoma filtration surgery. Part 2: the role of anti-inflammatory therapy in glaucoma surgery</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-8238-4741</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Абудайяк Бахаа</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Abudayyak Bahaa</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-офтальмолог, аспирант кафедры оториноларингологии  и офтальмологии</p><p>199034, Санкт-Петербург, Университетская наб., 7/9</p></bio><bio xml:lang="en"><p>ophthalmologist, postgraduate student at the Department  of Otorhinolaryngology and Ophthalmology</p><p>7/9 Universitetskaya Emb., Saint Petersburg, 199034</p></bio><email xlink:type="simple">baha.jin@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6393-1289</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Николаенко</surname><given-names>В. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Nikolaenko</surname><given-names>V. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., профессор кафедры оториноларингологии и офтальмологии,  заместитель главного врача по офтальмологии</p><p>199034, Санкт-Петербург, Университетская наб., 7/9</p><p>194354, Санкт-Петербург, Учебный пер., 5</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor at the Department of Otorhinolaryngology and Ophthalmology, Deputy Chief Doctor for Ophthalmology</p><p>7/9 Universitetskaya Emb., Saint Petersburg, 199034</p><p>5 Uchebnyy Ln., Saint Petersburg, 194354</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБОУ ВО СПбГУ<country>Россия</country></aff><aff xml:lang="en">Saint Petersburg State University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБОУ ВО СПбГУ; СПб ГБУЗ «ГМПБ № 2»<country>Россия</country></aff><aff xml:lang="en">Saint Petersburg State University; City Multidisciplinary Hospital No. 2<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>01</day><month>12</month><year>2025</year></pub-date><volume>24</volume><issue>4</issue><fpage>70</fpage><lpage>80</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Абудайяк Бахаа А.М., Николаенко В.П., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Абудайяк Бахаа А.М., Николаенко В.П.</copyright-holder><copyright-holder xml:lang="en">Abudayyak Bahaa A.M., Nikolaenko V.P.</copyright-holder><license 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/598">https://www.glaucomajournal.ru/jour/article/view/598</self-uri><abstract><p>Многолетнее применение местных гипотензивных препаратов, особенно содержащих консерванты, у па- циентов с глаукомой приводит к значительным изменениям глазной поверхности. Патогенетическую основу этих изменений составляют снижение слезопродукции и стабильности слезной пленки, обеднение популяции бокаловидных клеток, повышенная экспрессия провоспалительных цитокинов, дисрегуляция факторов роста, а также клеточная инфильтрация покровных тканей глаза. Развивающееся при этом субклиническое воспаление обусловливает непредсказуемое заживление послеоперационной раны. Эти изменения являются ключевым патогенетическим звеном в цепи событий, приводящих к раннему субконъюнктивальному фиброзу, что, в свою очередь, становится основной причиной неудачи фильтрующих операций. В представленном обзоре проведен анализ современных стратегий улучшения отдаленных результатов фильтрующих операций. Рассмотрены основные аспекты комплексной предоперационной подготовки глазной поверхности, включающей использование щадящих лекарственных режимов, антифлогистических и увлажняющих средств. Также проведен анализ современных подходов к фармакологической модуляции процессов заживления послеоперационной раны с особым акцентом на применение противовоспалительной терапии.</p></abstract><trans-abstract xml:lang="en"><p>Long-term use of topical hypotensive medications, particularly preservative-containing formulations, in glaucoma patients induces significant ocular surface alterations. The pathogenic mechanisms underlying these changes involve reduced tear production and tear film stability, goblet cell loss, upregulated pro-inflammatory cytokine expression, growth factor dysregulation, and cellular infiltration of ocular surface tissues. The resulting subclinical inflammation leads to unpredictable postoperative wound healing. These changes represent a critical link in the cascade of events leading to early subconjunctival fibrosis, which in turn becomes the primary cause of failure in filtration surgeries. This review evaluates current strategies aimed at improving long-term outcomes of glaucoma filtration surgery. The work examines critical aspects of preoperative ocular surface preparation, including surface-sparing medication regimens, the use of anti-inflammatory agents and artificial tears. Modern approaches to pharmacological modulation of postoperative wound healing are also reviewed, with particular emphasis on the role of antiinflammatory therapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>глаукома</kwd><kwd>трабекулэктомия</kwd><kwd>фильтрующая хирургия</kwd><kwd>глазная поверхность</kwd><kwd>воспаление</kwd><kwd>противовоспалительная терапия</kwd><kwd>глюкокортикоиды</kwd><kwd>НПВП</kwd></kwd-group><kwd-group xml:lang="en"><kwd>glaucoma</kwd><kwd>trabeculectomy</kwd><kwd>filtration surgery</kwd><kwd>ocular surface</kwd><kwd>inflammation</kwd><kwd>anti-inflammatory therapy</kwd><kwd>glucocorticoids</kwd><kwd>NSAIDs</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">Chamard C, Larrieu S, Baudouin C, Bron A, et al. Preservative-free versus preserved glaucoma eye drops and occurrence of glaucoma surgery. 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