[Prevention of posttraumatic retinal detachment using photocoagulation].
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Biomedical subjects
Publications and source records attributed to N N Nurmamedov.
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The authors have developed an operation involving artificial drainage system implantation to children with secondary posttraumatic glaucoma. The drainage system represents a silicon cylinder 2 mm long with an external diameter of 2 mm and internal diameter of 1.5 mm. A thin membrane attached to the internal walls of the cylinder along 1/3 of the diameter, free otherwise, is situated in the middle of the cylinder. There are small openings, directed to opposite sides, in the terminal sections of this membrane. Such surgery was carried out in 18 eyes of 18 children aged 5 to 14 with secondary posttraumatic glaucoma. The patients were discharged from hospital on days 7-10 after surgery with ophthalmic tone of 17 to 21 mm Hg. A follow-up of up to 1.5 years has shown that the ocular pressure was normal (17-22 mm Hg) in 13 eyes, slightly higher in 4 (23-26 mm Hg), and high (35 mm Hg) in 1. Repeated surgery of this patient with revision of the intervention site has revealed that the distal end of the drainage tube was closed with solid connective tissue. This complication was due to a technological error in the course of operation.
The efficacy of sclerocyclodialysis surgical technique was analyzed in 65 patients (67 eyes) with closed-angle glaucoma with organic blocking of the anterior chamber corner. Ophthalmic tone normalization directly after surgery was achieved in all the cases; in late periods (1 to 3.5 years after the operation) the best hypotensive effect with improved or preserved visual functions was observed mainly in the patients with the initial or well-developed stages of the glaucomatous process.
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