F R Baltabaev | PubMed Health

PubMedDate not supplied

[Modification of sinusotomy].

Sinusotomy modification, developed by the authors, consists in combination of traditional subscleral surgery with posterior cyclo-retraction and the formation of an uveal pouch. This technique was used in the treatment of 28 patients (28 eyes) with primary open-angle glaucoma. Immediate hypotensive effect was achieved in all the patients (in one case surgery was paralleled by pilocarpine instillations). Twenty-four patients were examined in late periods (up to 1 year) after surgery. Ophthalmic tone normalization was achieved in 91.7% of cases (in 83.3% of cases no drug instillations were used). Vision acuity and visual field were unchanged or improved in 87.5 and 95.8% of cases, respectively. No grave complications were recorded.

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PubMedDate not supplied

[Technique of suprachoroidal space drainage in the prevention and treatment of ciliary-choroidal detachment after glaucoma surgery].

The authors recommend cross-like sclerotomy to prevent and treat a ciliary-choroidal detachment after antiglaucoma surgery. Double cross-like sclerotomy was performed in the upper half of the eye simultaneously with trabeculectomy in 30 patients with open-angle glaucoma to prevent the development of ciliary-choroidal detachment. Thirty patients subjected to similar surgery but without prophylactic sclerotomy have made up the reference group. The results evidence that double cross-like sclerotomy is an effective method for the prevention of ciliary-choroidal detachment: the incidence of this complication has dropped by 8 times (from 26.7 to 3.3%). Gross-like sclerotomy performed to treat utricular ciliary-choroidal detachment resulted in cure in all the 14 cases. The suggested sclerotomy technique is simple and low-traumatic.

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