TREATMENT OF REFRACTORY GLAUCOMA USING DOMESTIC DRAINAGE CONSTRUCTION

Abstract

The purpose of the study was to develop a surgical treatment of refractory glaucoma with the use of biodegradable drainage construction made of domestic materials in the modification of sinus trabeculectomy (STE). The operation was performed in 30 patients (30 eyes) with refractory glaucoma at the age of 50-70 years old. All the patients had one or more glaucoma operations in a medical history. As a drainage material polyglycolide thread was used, which is a synthetic absorbable suture composed of filaments of glycolic acid. Complete absorption occurs within 60-90 days. The duration of follow-up was 18 months. After 1-3 months of observation hypotensive effectiveness was 100% (30 eyes), after 9-12 months - 97% (29 out of 30 eyes). The result was confirmed using standard survey methods (visometry, tonometry, computerized perimetry, tonography, etc.). In the early postoperative period, optical coherence tomography of the anterior segment of the eye (ASOCT) was performed, later - ultrasound biomicroscopy (UBM). The developed new version of the surgical treatment of glaucoma with the use of a drainage construction made of domestic material provides a prolonged hypotensive effect.