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Preventive posterior scleral trepanation in glaucoma surgery

https://doi.org/10.25700/NJG.2020.03.09

Abstract

Glaucoma is the leading cause of irreversible blindness worldwide. There are many varieties of glaucoma surgery. Among the complications of glaucoma surgery, an important place is occupied by the detachment of the choroid, which can develop both intraoperatively and in the postoperative period. In the CIS countries, prophylactic posterior trepanation of the sclera (PTS) is widespread in order to prevent ciliochoroid detachment. The results of recent clinical trials presented in this review demonstrate the lack of evidence for the implementation of PTS to prevent the development of choroid detachment. The implementation of this surgical intervention is justified in the postoperative period by the development of ciliochoroidal detachment in the absence of the effect of drug therapy.

About the Authors

I. N. Isakov
Novokuznetsk City Clinical Hospital N 1
Russian Federation

Head of Ophthalmology Department

28 Bardina prosp., Novokuznetsk, 654057



A. V. Seleznev
State Medical Academy
Russian Federation

Ph.D., Associate Professor

8 Sheremetevsky prosp., Ivanovo, 153012



A. V. Kuroyedov
Mandryka Central Clinical Hospital; Pirogov Russian National Research Medical University
Russian Federation

Med.Sc.D., Professor, Head of Department

8а Bolshaya Olen’ya st., Moscow, 107014; 
1 Ostrovitianov st., Moscow, 117997 



S. Yu. Petrov
Scientific Research Institute of Eye Diseases
Russian Federation

Med.Sc.D., Leading Research Associate of Glaucoma Department

11 Rossolimo st., Moscow, 119021



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Review

For citations:


Isakov I.N., Seleznev A.V., Kuroyedov A.V., Petrov S.Yu. Preventive posterior scleral trepanation in glaucoma surgery. National Journal glaucoma. 2020;19(3):82-88. (In Russ.) https://doi.org/10.25700/NJG.2020.03.09

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