Drainage devices in glaucoma surgery
https://doi.org/10.25700/NJG.2020.02.10
Abstract
Glaucoma is one of the main diseases leading to visual impairment and blindness. At present, drainage device surgery is the most effective way to normalize the intraocular pressure and preserve visual functions. Depending on the material, the following types of drainage devices are distinguished: collagen-based; metal-based; synthetic polymerbased and biopolymer-based. This paper described the main characteristics of these types of drainage devices and provides data on their use in clinical ophthalmic practice. Data analysis led us to believe that due to the imperfection of the materials a dense connective tissue capsule forms around the implant, obliterating the newly created outflow pathways of the intraocular fluid. A wide selection of drainage devices existing at present indicates the absence of material around which scar tissue would not form. At present synthetic drainage device from natural polymers shows optimal properties. They combine the advantages of all groups: greater resistance compared to natural polymers, high biocompatibility, physiological transport of intraocular fluid. However, they do not yet answer all the necessary criteria, requiring further scientific research in this direction.
About the Authors
A. V. Tereshchenko
The Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Med.Sc.D., Director of Branch
5 Svyatoslav Fedorov st., Kaluga, 248007
I. G. Trifanenkova
The Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Ph.D., Deputy Director for Scientific Research
5 Svyatoslav Fedorov st., Kaluga, 248007
I. A. Molotkova
The Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Ph.D., Head of the Department of Glaucoma Sergery
5 Svyatoslav Fedorov st., Kaluga, 248007
S. S. Zhukov
The Kaluga branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Оphthalmologist
5 Svyatoslav Fedorov st., Kaluga, 248007
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For citations:
Tereshchenko A.V., Trifanenkova I.G., Molotkova I.A., Zhukov S.S. Drainage devices in glaucoma surgery. National Journal glaucoma. 2020;19(2):88-96. (In Russ.) https://doi.org/10.25700/NJG.2020.02.10
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