Menu: Home :: go to Journal :: switch to Russian :: switch to English
You are here: all Journals and Issues→ Journal→ Issue→ Article

The degree of correspondence between target pressure and intraocular pressure after microinvasive antiglaucomatous surgery

Annotation

Purpose : to study and reveal the correspondence between target pressure, tolerant and intraocular pressures (IOP) after microinvasive antiglaucomatous surgery. Materials and methods : the study included 190 patients (208 eyes) with decompensated primary open-angle glaucoma in association with hypotensive therapy, who underwent examination and surgical treatment of glaucoma within 2015-2016. All patients underwent the routine ophthalmological examination. Tolerant IOP was calculated using S.V. Balalin’s formula. Target pressure was determined by a standard method as 30 % decrease in the initial level of ophthalmotonus in a slight IOP increase, 40 % decrease - in moderate IOP increase and 50 % decrease - in high IOP. In connection with the absence of ophthalmotonus compensation in association with combined medical treatment, the patients with glaucoma underwent surgical treatment - microinvasive non-penetrating deep sclerectomy. Results and conclusion : the mean tolerant IOP value in patients with primary open-angle glaucoma was 14.75 ± 0.1 mm Hg. The mean target pressure value (by 30 % lower than initial ophthalmotonus) was lower than the mean tolerant IOP value only in a group of patients with primary open-angle glaucoma with the initial slight IOP increase. In patients with moderate increased and high initial IOP values target pressure was higher than tolerant one. The target pressure was recalculated (taking into consideration the tolerant pressure data) in patients with moderate increased ophthalomotonus values - by 40 %, and in initial high ophthalmotonus values - by 50 %.

Keywords

ophthalmology; glaucoma; target pressure; tolerant pressure; intraocular pressure

Full-text in one file

Download

DOI

10.20310/1810-0198-2017-22-1-193-198

UDC

617.7

Pages

193-198

References

1. Moshetova L.K., Koretskaya Yu.M. O taktike podkhoda k lecheniyu bol'nykh glaukomoy [About the tactics approach to glaucoma patients’ treatment]. Russkiy meditsinskiy zhurnal. Klinicheskaya oftal'mologiya – Russian Medical Journal. Clinical Ophthalmology, 2005, no. 2, pp. 78-80. (In Russian). 2. Vodovozov A.M. Tolerantnoe i intolerantnoe vnutriglaznoe davlenie pri glaukome [Tolerant and Intolerant Intraocular Pressure at Glaucoma]. Volgograd, 1991, 160 p. (In Russian). 3. Boriskina L.N. Opredelenie tolerantnogo vnutriglaznogo davleniya pri glaukome i ego klinicheskoe znachenie. Avtoref. diss. kand. med. nauk [Definition of Tolerant Intraocular Pressure at Glaucoma and its Clinical Meaning. Cand. med. sci. diss. abstr.]. Kuybyshev, 1985. (In Russian). 4. Gorodnichiy V.V., Dorofeev D.A., Zavadskiy P.Ch., Zvereva O.G., Karimov U.R., Kulik A.V., Kuroedov A.V., Lanin S.N., Lovpache Dzh.N., Loskutov I.A., Molchanova E.V., Ogorodnikova V.Yu., Onufriychuk O.N., Petrov S.Yu.1, Rozhko Yu.I., Sidenko T.A., Tazhibaev T.DZh., Shepeleva A.V. Faktory riska, patogennye faktory razvitiya i progressirovaniya glaukomy po rezul'tatam mnogotsentrovogo issledovaniya Rossiyskogo glaukomnogo obshchestva [Risk factors, pathogen factors of development and advance glaucoma according to the results of multicenter research of Russian Glaucoma Society]. Mediko-biologicheskie problemy zhiznedeyatel'nosti [Medical and Biological Problems of Life-Sustaining Activity]. 2012, no. 2, pp. 57-69. (In Russian). 5. Abysheva L.D., Avdeev R.V., Aleksandrov A.S. Mnogotsentrovoe issledovanie po izucheniyu pokazateley oftal'motonusa u patsientov s prodvinutymi stadiyami pervichnoy otkrytougol'noy glaukomy na fone provodimogo lecheniya [Multicenter research on indices study of intraocular tension at patients with advance phase of primary open-angle glaucoma at the background of the carried out treatment]. Sbornik nauchnykh statey 13 Mezhdunarodnogo kongressa «Glaukoma: teorii, tendentsii, tekhnologii» [A Collection of Scientific Articles of 13 International Congress “Glaucoma: Theory, Tendency, Technologies”]. Moscow, 2015, no. 1, pp. 72-80. (In Russian). 6. Alekseev V.N., Egorov E.A., Martynova E.B. O raspredelenii urovney vnutriglaznogo davleniya v normal'noy populyatsii [About division of intraocular pressure in normal population]. Russkiy meditsinskiy zhurnal. Klinicheskaya oftal'mologiya – Russian Medical Journal. Clinical Ophthalmology, 2001, vol. 2, no. 2, pp. 38-40. (In Russian). 7. Volkov V.V. Vnutriglaznoe davlenie (VGD) i stabilizatsiya glaukomy [Intraocular pressure (IOP) and glaucoma stabilization]. Tezisy doklada 8 s"ezda oftal'mologov Rossii [Theses of Report of 8th Conference of Russian Ophthalmologists]. Moscow, 2005, pp. 143-144. (In Russian). 8. Nesterov A.P., Egorov E.A. Glaukoma: spornye problemy, vozmozhnosti konsensusa [Glaucoma: arguable problems, possible consensus]. Tezisy doklada 8 s"ezda oftal'mologov Rossii [Theses of Report of 8th Conference of Russian Ophthalmologists]. Moscow, 2005, pp. 142-143. (In Russian). 9. Zubkova T.G. Tselevoe davlenie: metodika rascheta i vliyanie na stabilizatsiyu glaukomnogo protsessa. Avtoref. diss. kand. med. nauk [Target Pressure: Methods of Calculation and Influence on Stabilization of Glaucoma Process. Cand. med. sci. diss. abstr.].. St. Petersburg, 2005. (In Russian). 10. Vodovozov A.M., Balalin S.V., Mussa Al' Khindi, Frolova N.V. Novyy metod izmereniya tolerantnogo vnutriglaznogo davleniya pri glaukome [New method of tolerant intraocular pressure measurement at glaucoma]. Oftalmologicheskii Zhurnal – Journal of Ophthalmology, 1997, no. 3, pp. 157-161. (In Russian). 11. Balalin S.V. K voprosu o tolerantnom, intolerantnom, individual'nom i tselevom davlenii pri pervichnoy glaukome [On the issue of tolerant, intolerant, individual and target pressure at primary glaucoma]. Sbornik nauchnykh statey «Glaukoma: real'nost' i perspektivy» [A Collection of Scientific Articles “Glaucoma: Reality and Prospects”]. Moscow, 2008, pp. 126-129. (In Russian). 12. Shmyreva V.F., Fridman N.V. Rol' razlichnykh sposobov formirovaniya kon"yunktival'nogo loskuta v effektivnosti antiglaukomatoznykh operatsiy [Role of different ways of conjunctival flap in the efficiency of antiglaucomatose operations]. Vestnik oftal'mologii – Annals of Ophthalmology, 1987, vol. 103, no. 2, pp. 21-23. (In Russian). 13. Luchik V.I. Modifikatsiya antiglaukomatoznoy operatsii [Modification of antiglaucomatose operations]. Vestnik oftal'mologii – Annals of Ophthalmology, 1992, vol. 108, no. 2, pp. 7-9. (In Russian). 14. Babushkin A.E. Znachenie skleral'nogo loskuta v khirurgii glaukomy [The value of sclera flap in glaucoma surgery]. Vestnik oftal'mologii – Annals of Ophthalmology, 1991, vol. 107, no. 3, pp. 72-77. (In Russian). 15. Kurysheva N.I., Marnykh S.A., Borzinok S.A., Bochkarev M.V., Dolgina E.N., Kizeev M.V. Primenenie fiziologicheskikh regulyatorov reparatsii v khirurgii glaukomy (kliniko-immunologicheskoe issledovanie) [Use of physiological reparation regulators in glaucoma surgery: a clinicoimmunological study]. Vestnik oftal'mologii – Annals of Ophthalmology, 2005, vol. 121, no. 6, pp. 21-25. (In Russian). 16. Balalin S.V., Fokin V.P., Agryzkova N.I. Rezul'taty primeneniya programmnogo obespecheniya dlya opredeleniya tolerantnogo davleniya u bol'nykh pervichnoy otkrytougol'noy glaukomoy [The results of software use for identification of tolerant pressure among patients with primary open angle gluacoma]. Sbornik nauchnykh statey 12 Mezhdunarodnogo kongressa «Glaukoma: teorii, tendentsii, tekhnologii» [A Collection of Scientific Articles of 12 International Congress “Glaucoma: Theory, Tendency, Technology”]. Moscow, 2014, no. 1, pp. 87-88. (In Russian). 17. Abysheva L.D., Avdeev R.V., Aleksandrov A.S. Optimal'nye kharakteristiki verkhney granitsy oftal'motonusa u patsientov s razvitoy stadiey pervichnoy otkrytougol'noy glaukomy s tochki zreniya dokazatel'noy meditsiny [Optimal characteristics of upper limits of intraocular tension among patients with the developed stage of primary oen angle glaucoma from the point of view of evidence-based medicine]. Sbornik nauchnykh statey 13 Mezhdunarodnogo kongressa «Glaukoma: teorii, tendentsii, tekhnologii» [A Collection of Scientific Articles of 13 International Congress “Glaucoma: Theory, Tendency, Technology”]. Moscow, 2015, no. 1, pp. 61-71. (In Russian).

Received

2017-12-07

Section of issue

Medicine

Для корректной работы сайта используйте один из современных браузеров. Например, Firefox 55, Chrome 60 или более новые.