Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns
Purpose: Show the results of treatment of secondary glaucoma after severe eye burns.Methods: We observed 70 patients (108 eyes) with severe burns the eyes and their consequences, secondary glaucoma was observed in 40 patients (58 eyes). All patients with secondary glaucoma received traditional antih...
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Ophthalmology Publishing Group
2014-07-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/153 |
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| author | A. V. Solovieva R. A. Gundorova A. V. Stepanov P. V. Makarov A. E. Kugusheva |
| author_facet | A. V. Solovieva R. A. Gundorova A. V. Stepanov P. V. Makarov A. E. Kugusheva |
| author_sort | A. V. Solovieva |
| collection | DOAJ |
| description | Purpose: Show the results of treatment of secondary glaucoma after severe eye burns.Methods: We observed 70 patients (108 eyes) with severe burns the eyes and their consequences, secondary glaucoma was observed in 40 patients (58 eyes). All patients with secondary glaucoma received traditional antihypertensive therapy, with its failure to resort to antiglaucomatous surgery. Cataract extraction performed in 24 cases, 16 of them in combination with other surgery: the reconstruction of the anterior chamber, penetrating keratoplasty, sinustrabeculectomy, diode laser cyclocoagulation. Diode laser cy- clocoagulation performed 42 times in 8 of them in combination with other antiglaucomatous surgery: cataract surgery, reconstruction of the anterior chamber. Sinustrabeculectomy in patients with secondary glaucoma was performed in 7 cases, 4 of them with collagen implant drainage. Ahmed glaucoma drainage implant performed in 5 cases.Results: In 23 out of 58 (39.6%) of long-term compensation glaucoma IOP was achieved antihypertensive therapy without sur- gery. After cataract extraction resistant compensated IOP was achieved in 10 cases, a temporary (1 to 42 months) — in 11 cases, IOP is not reduced in 2 cases. After completing diode laser cyclocoagulation stable normalization of IOP occurred in 16 cases, the temporary (from 1 month to 2 years) — in 20 cases, 4 cases of IOP reduction was not achieved. As a result sinustrabeculectomy in 4 cases IOP decreased, in one case the hypotensive effect is not there. After implantation Ahmed glaucoma valve in 2 cases was achieved stable normalization of IOP, in the 2 cases — the temporary; in 1 case developed endophthalmitis, and the device was removed.Conclusion: the immediate effect of antiglaucomatous treatment was 96.6%, but the high incidence of IOP decompensation (73.7%) suggesting the need for continuous follow-up patients after severe eye burn injury, and a readiness to use other methods to reduce IOP. |
| format | Article |
| id | doaj-art-5ce25cc7a5c1414f99ebec0f7e3566ab |
| institution | Kabale University |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2014-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-5ce25cc7a5c1414f99ebec0f7e3566ab2025-08-20T04:00:25ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452014-07-0193414510.18008/1816-5095-2012-3-41-45153Methods to reduce intraocular pressure on secondary glaucoma after severe eye burnsA. V. Solovieva0R. A. Gundorova1A. V. Stepanov2P. V. Makarov3A. E. Kugusheva4ФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздравсоцразвития России, Москва, РоссияФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздравсоцразвития России, Москва, РоссияФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздравсоцразвития России, Москва, РоссияФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздравсоцразвития России, Москва, РоссияФГБУ «Московский научно-исследовательский институт глазных болезней им. Гельмгольца» Минздравсоцразвития России, Москва, РоссияPurpose: Show the results of treatment of secondary glaucoma after severe eye burns.Methods: We observed 70 patients (108 eyes) with severe burns the eyes and their consequences, secondary glaucoma was observed in 40 patients (58 eyes). All patients with secondary glaucoma received traditional antihypertensive therapy, with its failure to resort to antiglaucomatous surgery. Cataract extraction performed in 24 cases, 16 of them in combination with other surgery: the reconstruction of the anterior chamber, penetrating keratoplasty, sinustrabeculectomy, diode laser cyclocoagulation. Diode laser cy- clocoagulation performed 42 times in 8 of them in combination with other antiglaucomatous surgery: cataract surgery, reconstruction of the anterior chamber. Sinustrabeculectomy in patients with secondary glaucoma was performed in 7 cases, 4 of them with collagen implant drainage. Ahmed glaucoma drainage implant performed in 5 cases.Results: In 23 out of 58 (39.6%) of long-term compensation glaucoma IOP was achieved antihypertensive therapy without sur- gery. After cataract extraction resistant compensated IOP was achieved in 10 cases, a temporary (1 to 42 months) — in 11 cases, IOP is not reduced in 2 cases. After completing diode laser cyclocoagulation stable normalization of IOP occurred in 16 cases, the temporary (from 1 month to 2 years) — in 20 cases, 4 cases of IOP reduction was not achieved. As a result sinustrabeculectomy in 4 cases IOP decreased, in one case the hypotensive effect is not there. After implantation Ahmed glaucoma valve in 2 cases was achieved stable normalization of IOP, in the 2 cases — the temporary; in 1 case developed endophthalmitis, and the device was removed.Conclusion: the immediate effect of antiglaucomatous treatment was 96.6%, but the high incidence of IOP decompensation (73.7%) suggesting the need for continuous follow-up patients after severe eye burn injury, and a readiness to use other methods to reduce IOP.https://www.ophthalmojournal.com/opht/article/view/153secondary glaucomaeye burnsintraocular pressurehypotensive treatment |
| spellingShingle | A. V. Solovieva R. A. Gundorova A. V. Stepanov P. V. Makarov A. E. Kugusheva Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns Oftalʹmologiâ secondary glaucoma eye burns intraocular pressure hypotensive treatment |
| title | Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| title_full | Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| title_fullStr | Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| title_full_unstemmed | Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| title_short | Methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| title_sort | methods to reduce intraocular pressure on secondary glaucoma after severe eye burns |
| topic | secondary glaucoma eye burns intraocular pressure hypotensive treatment |
| url | https://www.ophthalmojournal.com/opht/article/view/153 |
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