Our experience in the application of YAG laser activation of trabecula in treatment of patients with glaucoma
A.А. MARKOVA1, N.O. MIKHAILOV1, N.A. POZDEYEVA1,2
¹Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 10 Prospekt Traktorostroiteley, Cheboksary, Russian Federation, 428028
²Institution of Postgraduate Education of the Ministry of Health and Social Development of the Chuvash Republic, 3 Krasnaya Ploshchad, Cheboksary, Russian Federation, 428032
Markova A.A. — ophthalmologist of the Department of Ambulant Surgery and Conservative Treatment, tel. (8352) 36-47-24, e-mail: dr.anya@list.ru
Mikhailov N.O. — ophthalmologist of Department of Ambulant Surgery and Conservative Treatment, tel. (8352) 36-47-24, +7-919-678-43-33, e-mail: nikita9023@mail.ru
Pozdeyeva N.A. — D. Med. Sc., Deputy Director on Research Work, tel. (8352) 36-46-96, e-mail: npozdeeva@mail.ru
The article presents the results of analysis of 135 cases of the Yag laser activation of trabecula in patients with various forms of glaucoma. The decrease in average IOP from 22.6±2.6 mm Hg to 18.49±2.21 mm Hg in 1 day after operation was observed. One month after operation the average IOP was 19.83±3.01 mm Hg, after 3 months — 21.68±2.68 mm Hg, after 6 months — 24.2±2.9 mm Hg. The increase of intraocular pressure 6 months after surgery was observed in patients with advanced stages of glaucoma and with severe pigmentation degree of the anterior chamber angle structures. The decrease in the average number of hypotensive medications from 2.13±1.3 before surgery to 1.2±0.36 3 months after surgery was observed. In addition, 3 months after surgery 67 eyes (49.6%) had compensated IOP without the use of any drugs, after 6 months the average number of instillation amounted to 1.32±0.28. No intra- and postoperative complications were noted, which characterizes this form of laser treatment as effective and low-traumatic. It is necessary to analyze a longer period of observation to determine the categories of patients with different forms of glaucoma in which this intervention is optimal.
Key words: intraocular pressure (IOP), Yag laser activation of trabecular.
REFERENCES
- Kiseleva O.A., Robustova O.V., Bessmertnyy A.M., Zakharova E.K., Avdeev R.V. Prevalence of primary glaucoma in representatives of different races and ethnic groups in Russia and CIS countries. Oftal’mologiya, 2013, vol. 10, no. 4, pp. 11-15 (in Russ.).
- Quigley H.A., Broman A. The number of people with glaucoma worldwide in 2010 and 2020. Br. J. Ophthalmol, 2006, vol. 90(3), pp. 262-267.
- Nesterov A.P. Primary open-angle glaucoma: pathogenesis and principles of treatment. Klinicheskaya oftal’mologiya, 2000, vol. 1, pp. 4-5 (in Russ.).
- Petrov S.Yu., Fokina N.D., Sherstneva L.V., Vostrukhin S.V., Safonova D.M. Etiology of primary glaucoma: modern theories and research. Oftal’mologicheskie vedomosti, 2015, vol. 8, pp. 47-56 (in Russ.).
- Kochetkova Yu.A. YAG-lazernaya aktivatsiya trabekuly v lechenii bol’nykh pervichnoy otkrytougol’noy glaukomoy: avtoref. dis. … kand. med. nauk [YAG-laser activation of trabecula in the treatment of patients with primary open-angle glaucoma. Synopsis of dis. PhD med. sci]. Moscow, 2014.
- Sokolovskaya T.V., Doga A.V., Magaramov D.A., Kochetkova Yu.A. YAG-laser activation of trabecula in the treatment of patients with primary open-angle glaucoma. Oftal’mokhirurgiya, 2014, no. 1, pp. 47-52 (in Russ.).
- Magaramov D.A., Doga A.V. Sposob lazernoy aktivatsii trabekuly dlya lecheniya pervichnoy otkrytougol’noy glaukomy. Pat. RF 2281743, 15.02.2005 [Method of laser activation of trabecula for the treatment of primary open-angle glaucoma. Pat. RF 2281743, 15.02.2005].
- Magaramov D.A., Kachalina G.F., Sokolovskaya T.V., Ibragim Kassem. Laser activation of trabecula in the treatment of primary open-angle glaucoma. Oftal’mokhirurgiya, 2007, no. 1, pp. 29-32 (in Russ.).