Academic Journal

Activation of uveolymphatic outflow pathway after non-penetrating glaucoma surgery without filtering bleb: Case reports

التفاصيل البيبلوغرافية
العنوان: Activation of uveolymphatic outflow pathway after non-penetrating glaucoma surgery without filtering bleb: Case reports
المؤلفون: Kumar V., Frolov M.A., Shradqa A.S., Dushina G.N., Bezzabotnov A.I., Rustamova Z.Sh., Abu Zaalan K.A.
المصدر: РМЖ. Клиническая офтальмология
المجموعة: RUDN University Open Repository (RUOR)
مصطلحات موضوعية: Conjunctival lymphatics, Filtering bleb, Glaucoma surgery, Non-penetrating glaucoma surgery, Open-angle glaucoma, Uveolymphatic outflow pathway
الوصف: The authors propose a modified technique of non-penetrating filtering glaucoma surgery for primary open-angle glaucoma (POAG) to improve the uveoscleral outflow. The study enrolled 11 patients with POAG. A novel surgical technique included two steps. The first step was modified deep sclerectomy and cyclodyalysis with collagen implant placed into the supraciliary space. The second step (after 7–10 days) was YAG laser trabeculotomy. Surgical site and adjacent areas were examined by optical coherence tomography (OCT). After 6 months, mean IOP significantly reduced by 52% (from 30.0±10.3 mm Hg to 14.6±5.0 mm Hg, р=0.0004) while the number of IOP-lowering medications reduced by 79% (from 2.9±1.0 to 0.6±0.4, р=0.000001). The aqueous humor outflow occurred through conjunctival lymphatic vessels without filtering bleb formation, as illustrated by OCT. Postoperative complications were minor and easy-to-treat. Three case reports are discussed. © 2021, Medicine-Inform LLC. All rights reserved.
نوع الوثيقة: article in journal/newspaper
اللغة: Russian
Relation: https://doi.org/10.32364/2311-7729-2021-21-2-108-115; https://repository.rudn.ru/records/article/record/77218/
الاتاحة: https://repository.rudn.ru/records/article/record/77218/
رقم الانضمام: edsbas.BAFA3F62
قاعدة البيانات: BASE