Modern trends in the treatment of glaucoma
In nearly all Russian regions, glaucoma ranks first among the causes of disability due to ophthalmic pathology, which is in line with global trends of glaucoma incidence growth and its leading position among the causes of irreversible blindness. Treatment of glaucoma is aimed at lowering intraocular...
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| Format: | Article |
| Language: | Russian |
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Real Time Ltd
2024-03-01
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| Series: | Российский офтальмологический журнал |
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| Online Access: | https://roj.igb.ru/jour/article/view/1442 |
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| author | S. Yu. Petrov L. V. Yakubova O. I. Markelova |
| author_facet | S. Yu. Petrov L. V. Yakubova O. I. Markelova |
| author_sort | S. Yu. Petrov |
| collection | DOAJ |
| description | In nearly all Russian regions, glaucoma ranks first among the causes of disability due to ophthalmic pathology, which is in line with global trends of glaucoma incidence growth and its leading position among the causes of irreversible blindness. Treatment of glaucoma is aimed at lowering intraocular pressure (IOP). This review presents the main current trends in the treatment of glaucoma: drug therapy, laser surgery, fistulizing, drainage and non-penetrating surgery, as well as the latest micro-invasive glaucoma surgery (MIGS).Currently, the pharmaceutical market offers many antihypertensive drops. Fixed-dose combinations of drugs have been proposed to increase treatment adherence, and effective drug delivery methods are being developed, which lower IOP with minimal side effects. Further development of laser surgery makes it both a method of choice for the initial treatment (selective laser trabeculoplasty) and expands its capabilities for various stages of glaucoma (micropulse cyclophotocoagulation). All this significantly reduces the frequency of classical macroinvasive antiglaucoma operations. The previously existing gap between conservative medical therapy and antiglaucoma surgery is filled by the newest MIHG procedures. In recent years, at all stages of primary open-angle glaucoma therapy, the emergence of new pharmaceuticals, methods and implants has been noted. These constitute the purpose of this publication. |
| format | Article |
| id | doaj-art-31f84861ace141709af2dc492e6fec2e |
| institution | DOAJ |
| issn | 2072-0076 2587-5760 |
| language | Russian |
| publishDate | 2024-03-01 |
| publisher | Real Time Ltd |
| record_format | Article |
| series | Российский офтальмологический журнал |
| spelling | doaj-art-31f84861ace141709af2dc492e6fec2e2025-08-20T03:19:24ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602024-03-0117113614310.21516/2072-0076-2024-17-1-136-143676Modern trends in the treatment of glaucomaS. Yu. Petrov0L. V. Yakubova1O. I. Markelova2Helmholtz National Medical Research Center of Eye DiseasesHelmholtz National Medical Research Center of Eye DiseasesHelmholtz National Medical Research Center of Eye DiseasesIn nearly all Russian regions, glaucoma ranks first among the causes of disability due to ophthalmic pathology, which is in line with global trends of glaucoma incidence growth and its leading position among the causes of irreversible blindness. Treatment of glaucoma is aimed at lowering intraocular pressure (IOP). This review presents the main current trends in the treatment of glaucoma: drug therapy, laser surgery, fistulizing, drainage and non-penetrating surgery, as well as the latest micro-invasive glaucoma surgery (MIGS).Currently, the pharmaceutical market offers many antihypertensive drops. Fixed-dose combinations of drugs have been proposed to increase treatment adherence, and effective drug delivery methods are being developed, which lower IOP with minimal side effects. Further development of laser surgery makes it both a method of choice for the initial treatment (selective laser trabeculoplasty) and expands its capabilities for various stages of glaucoma (micropulse cyclophotocoagulation). All this significantly reduces the frequency of classical macroinvasive antiglaucoma operations. The previously existing gap between conservative medical therapy and antiglaucoma surgery is filled by the newest MIHG procedures. In recent years, at all stages of primary open-angle glaucoma therapy, the emergence of new pharmaceuticals, methods and implants has been noted. These constitute the purpose of this publication.https://roj.igb.ru/jour/article/view/1442glaucomablindnessintraocular pressuredrug therapylaser surgeryantiglaucoma surgerymicroinvasive surgeryadherence to treatment |
| spellingShingle | S. Yu. Petrov L. V. Yakubova O. I. Markelova Modern trends in the treatment of glaucoma Российский офтальмологический журнал glaucoma blindness intraocular pressure drug therapy laser surgery antiglaucoma surgery microinvasive surgery adherence to treatment |
| title | Modern trends in the treatment of glaucoma |
| title_full | Modern trends in the treatment of glaucoma |
| title_fullStr | Modern trends in the treatment of glaucoma |
| title_full_unstemmed | Modern trends in the treatment of glaucoma |
| title_short | Modern trends in the treatment of glaucoma |
| title_sort | modern trends in the treatment of glaucoma |
| topic | glaucoma blindness intraocular pressure drug therapy laser surgery antiglaucoma surgery microinvasive surgery adherence to treatment |
| url | https://roj.igb.ru/jour/article/view/1442 |
| work_keys_str_mv | AT syupetrov moderntrendsinthetreatmentofglaucoma AT lvyakubova moderntrendsinthetreatmentofglaucoma AT oimarkelova moderntrendsinthetreatmentofglaucoma |