ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA
Purpose: to analyze the effectiveness of Ex-Press drainage device implantation for refractory glaucoma of different origin for 3 years.Patients and methods: The study consisted of 82 patients (86 eyes) with refractory glaucoma aged 26–86 years (67.37±0.53). Pre-operative IOP level averaged...
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| Format: | Article |
| Language: | Russian |
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Ophthalmology Publishing Group
2017-07-01
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| Series: | Oftalʹmologiâ |
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| Online Access: | https://www.ophthalmojournal.com/opht/article/view/376 |
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| author | M. M. Bikbov I. I. Khusnitdinov |
| author_facet | M. M. Bikbov I. I. Khusnitdinov |
| author_sort | M. M. Bikbov |
| collection | DOAJ |
| description | Purpose: to analyze the effectiveness of Ex-Press drainage device implantation for refractory glaucoma of different origin for 3 years.Patients and methods: The study consisted of 82 patients (86 eyes) with refractory glaucoma aged 26–86 years (67.37±0.53). Pre-operative IOP level averaged 37.8±1.04 mm Hg. Ex-Press drainage device implantation was rated according to the following criteria: IOP, time course of visual functions, the need for additional drug therapy and reoperation, the presence of intraoperative and postoperative complications. Examination of the patients was carried out from 1 to 8 days after the surgery and within 1, 3, 6, 12, 24 and 36 months.Results: According to our research results relative hypotensive effect equaled 74.4% (64/86) within a year after the surgery; 67.4% (58/86) — within 2 years; 65.1% (56/86) — after 3 years of follow-up period. The maximum decrease in IOP by 61.6% was observed immediately after the surgery. There was no effect of surgical treatment within3 years in 34.9% (30/86). Complications were observed in 23.2% (20/86) of cases: choroidal detachment — 12.8% (11/86), hyphema — 3.5% (3/86), eruption and dislocation — 3.5% (3 / 86), delayed expulsive hemorrhage — 2.3% (2/86), cyst of filtering bleb — 1.2% (1/86).Conclusion. Fistulizing operations with implantation of Ex-Press drainage device for refractory glaucoma provide normalization of IOP in 65.1% of cases (including 15.1% on the background of additional drug therapy) at follow-up period up to 3 years. |
| format | Article |
| id | doaj-art-905a870eecc046e8a4201d772893ec5b |
| institution | DOAJ |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| publishDate | 2017-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj-art-905a870eecc046e8a4201d772893ec5b2025-08-20T03:22:18ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452017-07-0114214114610.18008/1816-5095-2017-2-141-146340ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMAM. M. Bikbov0I. I. Khusnitdinov1Ufa Eye Research Institute of Academy of Sciences of the Republic of BashkortostanUfa Eye Research Institute of Academy of Sciences of the Republic of BashkortostanPurpose: to analyze the effectiveness of Ex-Press drainage device implantation for refractory glaucoma of different origin for 3 years.Patients and methods: The study consisted of 82 patients (86 eyes) with refractory glaucoma aged 26–86 years (67.37±0.53). Pre-operative IOP level averaged 37.8±1.04 mm Hg. Ex-Press drainage device implantation was rated according to the following criteria: IOP, time course of visual functions, the need for additional drug therapy and reoperation, the presence of intraoperative and postoperative complications. Examination of the patients was carried out from 1 to 8 days after the surgery and within 1, 3, 6, 12, 24 and 36 months.Results: According to our research results relative hypotensive effect equaled 74.4% (64/86) within a year after the surgery; 67.4% (58/86) — within 2 years; 65.1% (56/86) — after 3 years of follow-up period. The maximum decrease in IOP by 61.6% was observed immediately after the surgery. There was no effect of surgical treatment within3 years in 34.9% (30/86). Complications were observed in 23.2% (20/86) of cases: choroidal detachment — 12.8% (11/86), hyphema — 3.5% (3/86), eruption and dislocation — 3.5% (3 / 86), delayed expulsive hemorrhage — 2.3% (2/86), cyst of filtering bleb — 1.2% (1/86).Conclusion. Fistulizing operations with implantation of Ex-Press drainage device for refractory glaucoma provide normalization of IOP in 65.1% of cases (including 15.1% on the background of additional drug therapy) at follow-up period up to 3 years.https://www.ophthalmojournal.com/opht/article/view/376refractory glaucomadrainage glaucoma surgeryex-press drainage devicelong-term results |
| spellingShingle | M. M. Bikbov I. I. Khusnitdinov ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA Oftalʹmologiâ refractory glaucoma drainage glaucoma surgery ex-press drainage device long-term results |
| title | ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA |
| title_full | ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA |
| title_fullStr | ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA |
| title_full_unstemmed | ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA |
| title_short | ANALYSIS OF HYPOTENSIVE EFFECT OF EX-PRESS DRAINAGE DEVICE FOR REFRACTORY GLAUCOMA |
| title_sort | analysis of hypotensive effect of ex press drainage device for refractory glaucoma |
| topic | refractory glaucoma drainage glaucoma surgery ex-press drainage device long-term results |
| url | https://www.ophthalmojournal.com/opht/article/view/376 |
| work_keys_str_mv | AT mmbikbov analysisofhypotensiveeffectofexpressdrainagedeviceforrefractoryglaucoma AT iikhusnitdinov analysisofhypotensiveeffectofexpressdrainagedeviceforrefractoryglaucoma |