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Evaluation of the effectiveness of drainage surgery in young people with glaucoma

https://doi.org/10.53432/2078-4104-2024-23-2-41-48

Abstract

PURPOSE. To evaluate the efficacy of drainage surgery in primary juvenile open-angle glaucoma.

METHODS. The study included 16 patients with glaucoma, they were examined at the East Sight Recovery eye care center. The mean age was 40.2±13.5 years. All patients underwent a standard ophthalmological examination, including additional methods in dynamics. All patients underwent non-penetrating deep sclerectomy (NPDS) with Xenoplast drainage. In two cases, a combined procedure was performed: NPDS and phacoemulsification with intraocular lens implantation (Phaco+IOL). Within a year after surgery, all patients underwent YAG laser goniopuncture of the Descemet's membrane (Descemet's goniopuncture; DGP).

RESULTS. There were no complications in the postoperative period in any of the studied cases, target IOP level was achieved in the long-term postoperative period, and the number of hypotensive drugs used was reduced to 1–3.

CONCLUSIONS. NPDS with Xenoplast drainage in young patients with a diagnosis of primary juvenile open-angle glaucoma is highly effective and leads to stabilization of IOP and structural and functional parameters of the ONH in a long-term (3–5 years).

About the Authors

S. Yu. Anisimova
Eye care center "East Sight Recovery"
Russian Federation

Dr. Sci. (Med.), Professor, Director

10 Bld. 1 Poliny Osipenko St., Moscow, 123007



L. L Arutyunyan
Russian Medical Academy of Continuous Professional Education; Eye care center "East Sight Recovery"
Russian Federation

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

2/1 Barricadnaya St., Moscow, 125993

10 Bld. 1 Poliny Osipenko St., Moscow, 123007



S. I. Anisimov
Russian University of Medicine; Eye care center "East Sight Recovery"
Russian Federation

Dr. Sci. (Med.), Professor at the Academic Department of Eye Diseases; Scientific Director

4 Dolgorukovskaya St., Moscow, 127006

10 Bld. 1 Poliny Osipenko St., Moscow, 123007



A. A. Bratchuk
Eye care center "East Sight Recovery"
Russian Federation

ophthalmologist

10 Bld. 1 Poliny Osipenko St., Moscow, 123007



L. Pen
Rostov State Medical University
Russian Federation

 postgraduate student

29 Nakhichevanskiy Ln., Rostov-on-Don, 344022



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For citations:


Anisimova S.Yu., Arutyunyan L.L., Anisimov S.I., Bratchuk A.A., Pen L. Evaluation of the effectiveness of drainage surgery in young people with glaucoma. National Journal glaucoma. 2024;23(2):41-48. (In Russ.) https://doi.org/10.53432/2078-4104-2024-23-2-41-48

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ISSN 2078-4104 (Print)
ISSN 2311-6862 (Online)