O.A. NEPOMNYASHCHAYA, T.A. CHEKHOVA, G.V. BRATKO

Novosibirsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 10 Kolkhidskaya Str., Novosibirsk, Russian Federation, 630096

 Nepomnyashchaya O.A. — ophthalmologist, e-mail: yulya_nepomnyash@mail.ru

Chekhova T.A. — Cand. Med. Sc., Head of the Department, e-mail: chehova-ta@mail.ru

Bratko G.V. — Cand. Med. Sc., Leading Researcher, e-mail: gbratko@yandex.ru

 The analysis is presented of the results of selective laser trabeculoplasty (SLT) in patients with primarily identified open angle glaucoma (POAG) and in patients previously medically treated. Distribution of patients by the disease stages in comparison groups is shown. Technique of the SLT procedure is described, with criteria of its effectiveness at various time periods of monitoring. The significant dispersion of SLT results is highlighted, depending on the stage of POAG after a year in the group of patients, who had received medical treatment, and in the group of patients with a primarily found POAG. Additional therapeutic interventions are proposed for the patients who had not obtain a positive result after SLT.

Key words: glaucoma, SLT, treatment.

REFERENCES

1. Egorov E.A., Kuroedov A.V. Separate clinical and epidemiological characteristics of glaucoma in the CIS and Georgia. Results of a multicentre open retrospective study (part 2). RMZh: Klinicheskaya oftal’mologiya, 2012, no. 1, pp. 19-22 (in Russ.).
2. Tham Y.C., Li X., Wong T.Y. et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology, 2014, vol. 121, no. 11, rr. 2081-2090.
3. Nesterov A.P., Alekseev V.N., Alekseev I.B. et al. Natsional’noe rukovodstvo po glaukome dlya praktikuyushchikh vrachey. 3-e izd., ispr. i dop. [National guidelines for glaucoma for practicing doctors. 3rd ed., Rev. and additional]. Moscow: GEOTAR-Media, 2015. 454 p.
4. Zhao Y., Fu J.L., Li Y.L. et al. Epidemiology and clinical characteristics of patients with glaucoma: An analysis of hospital data between 2003 and 2012. Indian J. Ophthalmol, 2015, vol. 63, no. 11, rr. 825-831.
5. Kapetanakis V.V., Chan M.P., Foster P.J. et al. Global variations and time trends in the prevalence of primary open angleglaucoma (POAG): a systematic review and meta-analysis. Br. J. Ophthalmol, 2016, vol. 100, no. 1, rr. 86-93.
6. Chernykh V.V. The effect of complex conservative therapy on immunobiochemical indices in tear fluid in patients with primary open-angle glaucoma. Glaukoma, 2005, no. 4, pp. 20-24 (in Russ.).
7. Chernykh V.V., Khodzhaev N.S., Takhchidi E.Kh. et al. Pathogenesis of the initial stage of primary open-angle glaucoma, the importance of the immune-inflammatory process. Oftal’mokhirurgiya, 2011, no. 2, pp. 50-53 (in Russ.).
8. Egorov E.A., Kuroedov A.V., Gorodnichiy V.V. et al. Early and long-term results of surgical treatment of glaucoma (results of a multicentre study of CIS countries). RMZh: Klinicheskaya oftal’mologiya, 2017, no. 1, pp. 25-34 (in Russ.).
9. Sokolovskaya T.V., Doga A.V., Magaramov D.A., Kochetkova Yu.A. Laser activation of trabecula in the treatment of primary open-angle glaucoma. Oftal’mokhirurgiya, 2015, no. 1, pp. 27-31 (in Russ.).
10. Turutina A.O., Malyshev A.S., Danielyan L.V. Features of the use of selective laser trabeculoplasty in the treatment of patients with primary mixed glaucoma. Vestnik Orenburgskogo gosudarstvennogo universiteta, 2015, no. 12, pp. 250-252 (in Russ.).
11. Pillunat K.R., Spoerl E., Elfes G., Pillunat L.E. Preoperative intraocular pressure as a predictor of selective laser trabeculoplasty efficacy. Acta Ophthalmol, 2016, vol. 94, no. 7, rr. 692-696.
12. Polat J., Grantham L., Mitchell K., Realini T. Repeatability of selective laser trabeculoplasty. Br. J. Ophthalmol, 2016, vol. 100, no. 10, rr. 1437-1441.
13. Gulati V., Fan S., Gardner B.J. et al. Mechanism of action of selective laser trabeculoplasty and predictors of response. Invest Ophthalmol. Vis. Sci, 2017, vol. 58, no. 3, rr. 1462-1468.
14. Skaat A., Rosman M.S., Chien J.L. et al. Microarchitecture of schlemm canal before and after selective laser trabeculoplasty in enhanced depth imaging optical coherence tomography. J. Glaucoma, 2017, vol. 26, no. 4, rr. 361-366.