Microinvasive non-penetrating deep sclerectomy with implantation of bioresorbable drainage in the surgical treatment of primary open-angle glaucoma
https://doi.org/10.34215/1609-1175-2021-3-63-66
Abstract
Objective: The estimation of the effectiveness of the treatment of primary open-angle glaucoma (POAG) using micro invasive non-penetrating deep sclerectomy along with the implantation of “Glautex drainage”.
Methods: The results of the treatment of 37 patients having POAG were analyzed before and after conducting micro invasive sclerectomy along with the implantation of “Glautex drainage”. Intraocular pressure level (IPL) before operation was 28.2 mm Hg on average.
Results: In all cases there were no complications during operations. POAG accounted 15.1 mm Hg the day after operation on average. Diffused filter pad of the moderate height was observed. Pathologic reaction of tissues to the implant was negative. In the period 1 to 3 months the intraocular pressure level was 16.8 mm Hg on average and most patients (92%) didn’t require hypotensive therapy. Descemetogoniopuncture was applied to all patients during this period. In 12 years the intraocular pressure level was 17.6% mm Hg on average. In 16 cases (43%) hypotensive mode was not implemented. According to ultrasound bio microscopy intrascleral cavity and intrascleral tunnels of the different intensity were still presented.
Conclusions: Micro invasive non-penetrating deep sclercetomy combined with implantation of the “Glautex drainage” can be considered as effective operation to normalize intraocular pressure level in patients having POAG.
About the Authors
V. V. Egorov
S. Fyodorov “Eye Microsurgery” Federal State Institution, Khabarovsk Branch;
Postgraduate Institute for Public Health Workers
Russian Federation
Russian Federation
MD, PhD, professor, general consultant, 211 Tikhookeanskaya St., Khabarovsk, 680033;
head of the Department of Ophthalmology, 9 Krasnodarskaya St., Khabarovsk, 680000
A. V. Postupaev
S. Fyodorov “Eye Microsurgery” Federal State Institution, Khabarovsk Branch
Russian Federation
Russian Federation
MD, PhD,
211 Tikhookeanskaya St., Khabarovsk, 680033
N. V. Postupaeva
S. Fyodorov “Eye Microsurgery” Federal State Institution, Khabarovsk Branch
Russian Federation
Russian Federation
MD, PhD,
211 Tikhookeanskaya St., Khabarovsk, 680033
References
1. Krasyuk EY, Semenov AN, Noskova OG, Kanaev AA. Prevalence and disability because of glaucoma in tambov province. Tambov University Reports. 2017;22(62–2): 1513−21 (In Russ).
2. Puzin SN, Nazarian MG, Schekaturov AA, Vertash OYu, Filippov VV. Analysis of the contingent of disabled people due to eye diseases taking into account the nosological form in the russian federation. Vestnik Vserossiyskogo Obshchestva Spetsialistov po MedikoSotsialnoy Ekspertize, Reabilitatsii i Reabilitatsionnoy Industrii. 2019;(2):41−6 (In Russ).
3. Egorov VV, Postupaev AV. Results of long-term observation of patients thatunderwent antiglaucomatous surgery. RMJ. Clinical ophthalomology. 2015;15(3):136−9 (In Russ).
4. Petrov SYu. Target IOP as a measure of glaucoma surgery efficacy. Ophthalmology in Russia. 2014;11(4):4−9 (In Russ).
5. Balalin SV, Fokin VP. Risk factors and target intraocular pressure in primary open-angle glaucoma. Glaukoma. Zhurnal NII GB RAMN. 2013;3–2:120−31 (In Russ).
6. Egorov VV, Postupaev AV. Long-term efficiency of the microinvasive nonpenetrating deep sclerectomy in primary open-angle glaucoma surgical treatment. National Journal Glaucoma. 2017;16(4):23−9 (In Russ).
7. Takhchidi KP, Khodjaev NS, Takhchidi EK, Ivanova ES, Uzunyan DG. Clinical and functional evaluation of iop value in early postoperative period after nonpenetrating deep sclerectomy (NPDS) and microinvasive nonpenetrating deep sclerectomy (MNPDS). Glaicoma. 2008;1:20−5 (In Russ).
8. Egorova EV, Uzunyan DG. Laser correction of drain system formed with transconjunctival deep sclerectomy at origin of postoperative hypertension. Vestnik Orenburgskogo Gosudarstvennogo Universiteta. 2007;S78:73−9 (In Russ).
9. Anisimova SY, Anisimov SI, Novak IV, Arutyunyan LL, Chigovanina NP, Zagrebelnaya KV, Polyakova KM. Combined non-perforating deep sclerotomy and femtoassisted phacoemulsification in patients with cataract and glaucoma. National Journal Glaucoma. 2014;13(3):63−8 (In Russ).
10. Tereshchenko AV, Molotkova IA, Belyy YuA, Erokhina EV. The efficacy of T-shaped hydrogel drainage using in microinvasive non-penetrating glaucoma surgery modification for primary open-angle glaucoma. Ophthalmology in Russia. 2011;8(4):27−32 (In Russ).
11. Alekseev IB, Abrosimova EV, Adleiba OA, Arkhipov AN, Apyakin AP, Afonina EV, et al. The russian experience of glaucoma surgery using Glautex implant. RMJ. Clinical Ophthalomology. 2014;14(4):193−7 (In Russ).
12. Slonimskij AU, Alekseev IB, Dolgij SS, Korigodskij AR. New biodegradable drainage Glautex in the surgical treatment of glaucoma. Glaukoma. Zhurnal NII GB RAMN. 2012;4:55−9 (In Russ.)
13. Chuprov AD, Saneeva ZhKh, Lanovskaya YuI. Experience of using Glautex drainage in non-penetrating deep sclerectomy. Practical Medicine. 2018;3:197−9 (In Russ).
14. Khusnitdinov II, Babushkin AE. Comparison of the effectiveness of antiglaucomatous surgeries with various Glautex drainage models. Ophthalmology in Russia. 2019;16(1S):91−5 (In Russ).
Review
For citations:
Egorov V.V., Postupaev A.V., Postupaeva N.V. Microinvasive non-penetrating deep sclerectomy with implantation of bioresorbable drainage in the surgical treatment of primary open-angle glaucoma. Pacific Medical Journal. 2021;(3):63-66. (In Russ.) https://doi.org/10.34215/1609-1175-2021-3-63-66
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