Risks in the surgical treatment of far-advanced glaucoma in the only seeing eye

Author:

Frolov M. A.1ORCID,Kopchenova Yu. G.2ORCID,Tolstykh M. P.3ORCID,Frolov A. M.1ORCID,Dulani F. T1ORCID,Tebueva L. V.4ORCID,Isaev A. R.5ORCID

Affiliation:

1. Peoples' Friendship University of Russia

2. Peoples' Friendship University of Russia Moscow City Clinical Hospital No. 52

3. A.I. Yevdokimov Moscow State University of Medicine and Dentistry

4. Moscow City Clinical Hospital No. 52

5. Russian Medical Academy of Continuous Professional Education

Abstract

This review summarizes the results of surgical treatment of faradvanced stage glaucoma in the only seeing eye. A literature search performed in the PubMed search engine and aimed at finding publications reporting the clinical outcomes of treatment in patients with glaucoma in the only seeing eye did yield sufficient data related to the topic. A comprehensive analysis of the available data was performed with an emphasis on the choice of treatment tactics and postoperative results at various times following a surgery. Several studies allowed to perform a comparison of the clinical advantages and costeffectiveness of medical treatment versus surgery for advanced glaucoma, as well as to assess potential risks and adverse outcomes such as glaucoma progression, postoperative scarring, hypotension and other complications. The results presented in this review suggest that common success criteria can provide uniformity in academic studies, but in daily clinical practice each glaucoma specialist must make a patientspecific decision in favor of either of these methods of treatment in order to guarantee an optimal result, both for the doctor and, of course, for the patient.

Publisher

Research Institute of Eye Diseases

Reference61 articles.

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2. Eroshevskaya E.B. Intraocular correction of aphakia in patients with primary open-angle glaucoma. Dissertation of Doct. Med. Sci. Samara, 1997. 240 p.

3. Dolzhych G.I., Ven Lakhdar Atef. Clinical and functional substantiation of one-stage visor sinus trabeculectomy with cataract extraction and IOL implantation. Materials of all-Russian conference “Glaucoma at the turn of the millennium: Results and prospects” Moscow, 1999. pp. 276-277.

4. Ioshin I.E., Tolchinskaya A.I., Madyarova D.A. Surgical treatment of complicated cataract in monocular patients with primary open-angle glaucoma. Glaucoma 2002; 1:24.

5. Korchuganova E.A. Limbosclerectomy with valvular drainage of the supraciliary space — a new operation in the treatment of refractory glaucoma. Dissertation of Cand. Med. Sci. Moscow, 2001.

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