
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.
2 пациента (68 глаз), которым по поводу глаукомы проведена синустрабекулэктомия по J.E. Cairns были разделены на две группы. Пациентам 1-й группы 22 пациента (35 глаз) на 5-й день после операции проведен лазерный сутуролизис. На протяжении 6-месячного наблюдения уровень среднего внутриглазного давления у пациентов, перенесших сутуролизис, был ниже, чем во 2-й группе (без дополнительного лазерного лечения). Хотя лазерный сутуролизис склеральных швов после синустрабекулэктомии позволяет значительно пролонгировать гипотензивный эффект операции, данная технология в ряде случаев может приводить к осложнениям, требующим дополнительных хирургических манипуляций
СИНУСТРАБЕКУЛЭКТОМИЯ,ВНУТРИГЛАЗНОЕ ДАВЛЕНИЕ,ОТТОК ВНУТРИГЛАЗНОЙ ЖИДКОСТИ,SINUS TRABECULECTOMY,INTRAOCULAR TENSION,OCULAR FLUID OUTFLOW
СИНУСТРАБЕКУЛЭКТОМИЯ,ВНУТРИГЛАЗНОЕ ДАВЛЕНИЕ,ОТТОК ВНУТРИГЛАЗНОЙ ЖИДКОСТИ,SINUS TRABECULECTOMY,INTRAOCULAR TENSION,OCULAR FLUID OUTFLOW
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