Metered-dose laser suturolisis during postsurgical case management of patients with open-angle glaucoma
Abstract
Background. The study objective is to assess the effectiveness of laser suturolisis after glaucoma surgery. Methods. Two groups of patients were compared after J.E. Cairns fistulizing sinus trabeculectomy. In the first group (22 patients - 35 eyes) on the fifth day after surgery the laser suturolisis with the methods of O.V. Bondarenko. In second group (20 patients - 33 eyes) the laser surgery was not conducted. Results. During 6 months of postsurgical observation the average level of the intraocular pressure in pationts of the first group maintained lower than those in patients of the second group. After the aser suturolisis the were following complications: hyphema, separation of choroid, hypotension with the syndrome of shallow anterior chamber. Conclusions. The use of laser suturolisis of scleral stitches after the sinus trabeculectomy allows to prolong hypotension surgery effect. However this technology is not secure and may cause complications, which require extra surgery maneuvers.
About the Authors
M. P. Ruchkin
Primorsky center of eye microsurgery
Russian Federation
Russian Federation
D. A. Negodina
Primorsky center of eye microsurgery
Russian Federation
Russian Federation
D. V. Turgenev
Primorsky center of eye microsurgery
Russian Federation
Russian Federation
References
1. Бондаренко О.В., Ковалев А.И. Тактика хирургического ведения пациентов с открытоугольной далеко зашедшей глаукомой. Дозированный сутуролизис // Таврический медикобиологический вестник. 2013. Т. 16, № 3 (ч. 2). С. 190-191.
2. Fukuchi T., Ueda J., Yaoeda K. [et al.] The outcome of mitomycin C trabeculectomy and laser suture lysis depends on postoperative management // Japan J. Ophthalmol. 2006. Vol. 50, No. 5. P. 455-459.
3. Khouri A.S., Forofonova T.I., Fechtner R.D. Laser suture lysis through thick blebs using the Blumenthal lens // Achieves of Ophthalmology. 2006. Vol. 124, No. 4. P. 544-545.
4. Kirwan J.F., Lockwood A.J., Shah P., Macleod A. Trabeculectomy in the 21st century: a multicenter analysis // Ophthalmology. 2013. Vol. 120, No. 12. P 2532-2539.
5. Krömer M., Nölle B., Rüfer F. Laser suture lysis after trabeculectomy with mitomycin c: analysis of suture selection // Journal Glaucoma. 2014. No. 9. P. 75-83.
6. Pappa K., Derick R., Weber P. [et al.] Late argon laser suture lysis after mitomycin C trabeculectomy // Ophthalmology. 1993. Vol. 100, No. 8. P 1268-1271.
7. Singh M., Aung T., Friedman D.S., Zheng C. Anterior segment optical coherence tomography imaging of trabeculectomy blebs before and afterlaser suture lysis // American Journal of Ophthalmology. 2007. Vol. 143, No. 5. P 873-875.
Review
For citations:
Ruchkin M.P., Negodina D.A., Turgenev D.V. Metered-dose laser suturolisis during postsurgical case management of patients with open-angle glaucoma. Pacific Medical Journal. 2015;(3):63-64. (In Russ.)
Views:
332
Email this article 