Long-term results of combined surgery for open-angle glaucoma

Baranov I.Ia.; Shiryaev I.V.; Mitrofanova N.V.; Molodkina N.A.; Balashevich L.I.

doi:https://doi.org/10.17116/oftalma2017133132-36

Baranov I.Ia.

Sankt-Peterburgskiĭ filial FGBU MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Shiryaev I.V.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

Mitrofanova N.V.

Sankt-Peterburgskiĭ filial FGBU MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Molodkina N.A.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

Balashevich L.I.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

Long-term results of combined surgery for open-angle glaucoma

Authors:

Baranov I.Ia., Shiryaev I.V., Mitrofanova N.V., Molodkina N.A., Balashevich L.I.

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Journal: Russian Annals of Ophthalmology. 2017;133(1): 32‑36

DOI: 10.17116/oftalma2017133132-36

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Baranov IIa, Shiryaev IV, Mitrofanova NV, Molodkina NA, Balashevich LI. Long-term results of combined surgery for open-angle glaucoma. Russian Annals of Ophthalmology. 2017;133(1):32‑36. (In Russ.)
https://doi.org/10.17116/oftalma2017133132-36

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)

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Abstract:

Aim — to comparatively evaluate the hypotensive effect of minimally invasive (type 1) and basic (type 2) subscleral removing of the external wall of Schlemm’s canal with subsequent laser trabeculopuncture in patients with open-angle glaucoma (POAG). Material and methods. The main group included 60 patients (64 eyes) treated with the minimally invasive technique. The control group included 105 patients (105 eyes), who underwent the type 2 surgery. Results. After sinusotomy, intraocular pressure (IOP) decreased by 25% of its preoperative values in most patients (in 90.6% of patients from the main group and 81.9% of the controls, p<0.05). After laser trabeculopuncture, IOP further decreased down to 15.6±0.4 mmHg in the main group and 17.4±0.3 mmHg in the control group (p<0.05). Twelve months after the combined treatment, the hypotensive effect was still present in 81.2% of patients from the main group and 90.5% of the controls. None of the patients required additional hypotensive therapy. Conclusion. In POAG patients, the effect of minimally invasive subscleral removal of the external wall of Schlemm’s canal (microfistulazing procedure) followed by laser trabeculopuncture is no weaker than that of basic technique.

Keywords:

combined laser surgery

subscleral removing of external wall of Schlemm’s canal

open-angle glaucoma

Authors:

Baranov I.Ia.

Sankt-Peterburgskiĭ filial FGBU MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Shiryaev I.V.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

Mitrofanova N.V.

Sankt-Peterburgskiĭ filial FGBU MNTK "Mikrokhirurgiia glaza" im. akad. S.N. Fedorova

Molodkina N.A.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

Balashevich L.I.

Saint-Petersburg branch of the Academician S.N. Fyodorov IRTC «Eye Microsurgery», 21 Yaroslava Gasheka St., Saint-Petersburg, Russian Federation, 192283

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