Characteristics of trabeculectomy in the treatment of some forms of glaucoma in young patients
Sidorov, E.G.; Perchikova, O.I.
Vestnik Oftalmologii 108(2): 5-7
1992
ISSN/ISBN: 0042-465X PMID: 1529497 Document Number: 401970
The described technique of modified trabeculectomy with irido-retraction according to O. V. Grusha-G. A. Sokolovsky is intended for the treatment of some glaucoma forms in young patients with the anterior fixation of the iris. The basic features of the technique are as follows: (1) besides the sinus, deep scleral layers and abnormal trabecula, the scleral autoimplants include the anterior section of the scleral calcar; (2) during the operation the iris is disconnected from the site of its adhesion to the trabecular zone; (3) to prevent cilio-choroidal detachment, sclerectomy is carried out. A total of 14 eyes in 11 patients aged 17 to 42 were operated on and the results followed up for up to 2.5 years. Surgical and stable hypotensive effect was achieved in 12 cases. Two obligatory conditions of effective surgery are emphasized: punctilious performance of all the particulars of the operation and postoperative cytostatic therapy.