The article evaluates the effectiveness of classical transcleral laser cyclophotocoagulation in continuous mode and micro-pulse cyclophotocoagulation in the treatment of terminal glaucoma. There were 84 patients under observation. In the transcleral laser cyclophotocoagulation group, 6 months after the operation, the average IOP decreased below the baseline by 31.6%, while the micro-pulse cyclophotocoagulation decreased by 22.9%. In the early postoperative period, there were no complications in any case in the micro-pulse cyclophotocoagulation group, and in 3 patients in the transcleral laser cyclophotocoagulation group. Key words: terminal glaucoma, transcleral laser cyclophotocoagulation, micro-pulse cyclophotocoagulation.

Objective. To analyze the results of the surgical treatment of cataract of different etiology in the children and adolescents at the age under 14 years based at the Cheboksary branch of C.N. Fedorov Eye Microsurgery Complex during the past 10 years. Material and methods. We undertook the retrospective comparative analysis of the results of the surgical intervention for the treatment of cataract in the children and adolescents at the age varying between 3 months and 14 years (390 eyes). The majority of the children presenting with post-traumatic cataract were at the age of 4-6 years. The long-term results of surgery were evaluated in 194 children (253 eyes or 65%) during the 6-36 month follow-up period. The presence of cataract was documented in 209 eyes of the patients with congenital cataract (including 92 ones with unilateral and 58 with bilateral cataract respectively). Post-traumatic cataract was documented in 44 eyes. Facoaspiration combined with the implantation of an intraocular lens and without it was performed in in 242 and 11 eyes respectively. The post-operative complications that developed in 79 children required the secondary surgical treatment. Results. The inflammatory reaction during the post-operative period was apparent in the children given the surgical treatment during the first year of life. The visual acuity in the patients with congenital cataract increased to 0.8-1.0 in 12.3% of the cases, to 0.5-0.7 in 49.2% of the cases, and to 0.2-0.4 in 23.1% of the patients. In the children presenting with post-traumatic cataract, the visual activity increased to 0.8-1.0 in 3.7% of the cases, to 0. 5-0.7 in 14.8 in 14.8% of the cases, and to 0.2-0.4 in 33.3% of the patients with this pathology. Conclusion. The removal of cataract with simultaneous implantation of the intraocular lens into the capsular sac is the highly physiological treatment that improves the conditions for the management of amblyopia and makes it possible to increase the number of eyes with improved visual function after the surgical treatment of this pathology. The application of the small-incision technology allows the occurrence of inflammatory reactions during the post-operative period to be reduced.

The combination of cataract and glaucoma is observed in approximately 76 % of cases, and in the presence of pseudoexfoliative syndrome - in 85 %. In order to optimize the surgical treatment of this combined pathology, various methods of combined intervention have been developed and applied. One of them is combination of YAG-laser activation of the trabecula (YAG-LAT), followed by cataract phacoemulsification and implantation of an intraocular lens (IOL). We observed 78 patients (78 eyes) with primary open-angle glaucoma with varying degrees of pigmentation of the anterior chamber angle structures in combination with complicated cataract. All patients underwent surgical intervention, which included YAG-laser activation of the trabecula 30 minutes after which, the stage of cataract phacoemulsification with IOL implantation was performed. After the treatment, in all cases, there was a significant increase in visual acuity in comparison with the preoperative values, on average, the best corrected visual acuity (BCVA) was 0.91 ± 0.09 and a decrease in the level of intraocular pressure by 16 % from the initial value after 12 months after treatment. According to computer perimetry data, no negative dynamics was observed in any patient in the long-term follow-up period to 12 months, which may indicate the stabilization of the glaucoma process. Suggested method provides stable normalization of intraocular pressure, improvement of visual functions and stabilization of the glaucoma process.