NEW TECHNIQUE OF SURGICAL TREATMENT OF PRIMARY OPEN-ANGLE GLAUCOMA

Abstract

The objective of the work is to study effectiveness of new modification of trabeculectomy in primary open-angle glaucoma (POAG) treatment.The operation using a new technique was performed in 28 patients (28 eyes) at the age of 51-73 years old with POAG. The ef-fectiveness of our modification of trabeculectomy was assessed during 12 months using standard methods. In the first week after surgery optical coherence tomography of the anterior segment of the eye (ASOCT) was performed, later - ultrasound biomicroscopy (UBM).When observing patients after surgery in 1 month, mean of intraocular pressure (IOP) was 10.0±1,91, after 6 mon. - 13,61±3,0, after 12 mon. - 17,93±4,09. In two cases there was an increase in IOP in terms of 8 months in one patient up to 26 mm Hg and in 10 months time in the second patient up to 27 mm Hg, which required an installation of hypotensive therapy, after the IOP was normalized.Thus, a new method of surgical treatment of POAG is efficient and allows to obtain a prolonged hypotensive effect.