Evaluation of the effectiveness of drainage surgery in young people with glaucoma

Abstract

PURPOSE. To evaluate the efficacy of drainage surgery in primary juvenile open-angle glaucoma.METHODS. The study included 16 patients with glaucoma, they were examined at the East Sight Recovery eye care center. The mean age was 40.2±13.5 years. All patients underwent a standard ophthalmological examination, including additional methods in dynamics. All patients underwent non-penetrating deep sclerectomy (NPDS) with Xenoplast drainage. In two cases, a combined procedure was performed: NPDS and phacoemulsification with intraocular lens implantation (Phaco+IOL). Within a year after surgery, all patients underwent YAG laser goniopuncture of the Descemet's membrane (Descemet's goniopuncture; DGP).RESULTS. There were no complications in the postoperative period in any of the studied cases, target IOP level was achieved in the long-term postoperative period, and the number of hypotensive drugs used was reduced to 1–3.CONCLUSIONS. NPDS with Xenoplast drainage in young patients with a diagnosis of primary juvenile open-angle glaucoma is highly effective and leads to stabilization of IOP and structural and functional parameters of the ONH in a long-term (3–5 years).