scholarly journals Application of "LitAr" material in glaucoma surgery in children and adults

2020 ◽  
pp. 47-54
Author(s):  
R. L. Troyanovsky ◽  
S. N. Solonina ◽  
N. A. Malinovskaya ◽  
A. V. Baranov ◽  
S. D. Litvinov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Glaucoma Surgery ◽  
Congenital Glaucoma ◽  
Visual Functions ◽  
Glaucoma Treatment

The success of surgical treatment of glaucoma, stabilization and preservation of visual functions are fundamentally dependent on the steady normalization of the eye hydrodynamics. The problem of refractory, resistant to glaucoma treatment in children and adults, including congenital glaucoma, remains extremely urgent. The article presents the results of glaucoma treatment, including refractory and buffalma glaucoma, using polymer-salt material "LitAr". The proposed composite proved to be useful both for planned application and in case of buftalma to provide fast remission and improvement of vision. An important fact is that the polymer-salt material "LitAr" has been successfully used both in primary operations and corrective interventions in patients with resistant to treatment glaucoma.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

Surgical treatment of congenital glaucoma in children using Glautex drainage

2020 ◽  
Vol 136 (6) ◽  
pp. 202
Author(s):  
Z.R. Nazirova ◽  
D.M. Turakulova ◽  
S.B. Buzrukov
Keyword(s):  
Surgical Treatment ◽  
Congenital Glaucoma

Ultrasound biomicroscopic patterns after glaucoma surgery in congenital glaucoma

Ophthalmology ◽  
2000 ◽  
Vol 107 (6) ◽  
pp. 1200-1205 ◽  
Author(s):  
Thomas S Dietlein ◽  
Bert F Engels ◽  
Philipp C Jacobi ◽  
Günter K Krieglstein
Keyword(s):  
Glaucoma Surgery ◽  
Congenital Glaucoma

Co-existing lacrimal drainage anomalies in eyes with congenital Glaucoma

2022 ◽  
pp. 112067212110734
Author(s):  
Sirisha Senthil ◽  
Mohammad Javed Ali ◽  
Raghava Chary ◽  
Anil K Mandal
Keyword(s):  
Time Delay ◽  
Glaucoma Surgery ◽  
Nasolacrimal Duct ◽  
Congenital Glaucoma ◽  
Treatment Interventions ◽  
Congenital Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Canalicular Obstruction ◽  
Lacrimal Fistula ◽  
Lacrimal Drainage

Aim To evaluate the occurrence of co-existing congenital nasolacrimal duct obstruction (CNLDO) and other lacrimal anomalies in eyes with congenital glaucoma (CG). Methods Retrospective analysis of children aged ≤1-year with co-existing CG and CNLDO seen between 1998 and 2019, treatment interventions and outcomes. Results During the study period, 1993 children had CG and 6203 children had CNLDO, among the children aged 1-year or less. Of these, 51 children (73 eyes) had co-existing CG and CNLDO. The prevalence of CNLDO in CG was 2.5% (51/1993) and the prevalence of CG among CNLDO was 0.8% (51/6203). Median age (Interquartile range, IQR) was 53 days (IQR: 8, 155), when they were diagnosed with CG. Among the children with CNLDO, 68 eyes (93.1%) had simple CNLDO, and 5 eyes (6.9%) had complex CNLDO. Associated lacrimal anomalies were present in 7/73 eyes, including congenital lacrimal fistula in two eyes, upper punctal agenesis and upper mid-canalicular obstruction in two eyes each, and upper single canalicular-wall hypoplasia in one eye. Lacrimal syringing and probing were successful in 69/72 eyes (95.8%), and failed in 3 eyes (4.2%). These 3 eyes had complex CNLDO and underwent Dacryocystorhinostomy (DCR) with Mitomycin-C and intubation. Sixty-two eyes underwent combined trabeculotomy and trabeculectomy, and two eyes underwent trabeculectomy. Median age at glaucoma surgery was 87 days (IQR: 54, 193). Median time delay for glaucoma surgery after probing was 18 days (IQR: 12, 35). Conclusion Among children aged ≤1-year presenting with congenital glaucoma coexisting lacrimal drainage anomalies was noted in 2.5% and simple CNLDO was the commonest. Early intervention is of paramount importance to prevent sight-threatening intraocular infection with CNLDO, and to minimize the delay of glaucoma surgery. The outcomes of lacrimal probing were excellent, however complex CNLDO required DCR.

Clinical case of intraocular correction of high-degree anisometropia

2021 ◽  
Vol 27 (1) ◽  
pp. 87-92
Author(s):  
Rakhim Z. Shamratov ◽  
Liya Sh. Ramazanova ◽  
Olga A. Napylova ◽  
Diana A. Maremshaova
Keyword(s):  
Surgical Treatment ◽  
Binocular Vision ◽  
Clinical Case ◽  
High Grade ◽  
Visual Rehabilitation ◽  
Visual Functions ◽  
Additional Correction ◽  
High Degree

The paper describes a clinical example of the intraocular correction of high-grade hyperopic anisometropia. Surgical treatment made it possible to restore binocular vision, obtain high visual functions without additional correction, preserve the accommodative ability of the eye, and achieve rapid visual rehabilitation.

Prismatic stage of treatment of patients in acute acquired esotropia with diplopia

2021 ◽  
pp. 124-127
Author(s):  
G.V. Gladysheva ◽  
◽  
I.L. Plisov ◽  
N.G. Antsiferova ◽  
D.R. Mamulat ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Management ◽  
Key Words ◽  
Binocular Vision ◽  
Deviation Angle ◽  
Color Test ◽  
Visual Functions ◽  
Single Vision ◽  
Binocular Single Vision ◽  
Test Color

Purpose. To analyze changes in binocular vision functions in patients with acutely acquired esotropia after preoperative correction by prisms. Material and methods. The study included 10 patients with acutely acquired esotropia with diplopia. Depending on the tactics of preoperative case management, two groups were distinguished: 1 - 5 patients, this group underwent preoperative prismatic correction of diplopia and the deviation angle, 2 - 5 patients, in this group underwent surgery without prior prismatic correction. Fresnel prisms were used to select and assign prismatic correction. The patients were monitored dynamically. Results. In the course of treatment 1 group according to the indicator of Worth's four-dot test color test, revealed a statistically significant increase in the frequency of value of the binocular single vision (p=0.041), the frequency of the presence of stereovision according to the Fly-test (p=0.013). Conclusion. Prismatic correction in combination with surgical treatment had better curative benefits than surgery itself in improving binocular and stereoscopic visual functions. Key words: acutely acquired esotropia, binocular vision, Fresnel prisms.

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