EX-PRESS DRAINAGE DEVICE IN PATIENTS WITH REFRACTORY AND PRIMARY OPEN-ANGLE GLAUCOMA

Autor: M. M. Bikbov, I. I. Khusnitdinov, R. F. Mannanova
Jazyk: ruština
Rok vydání: 2016
Předmět:
Zdroj: Acta Biomedica Scientifica, Vol 1, Iss 6, Pp 191-196 (2016)
Druh dokumentu: article
ISSN: 2541-9420
2587-9596
DOI: 10.12737/23828
Popis: The article provides the review of domestic and foreign literature on the use of the Ex-Press drainage device in patients with refractory and primary open-angle glaucoma. We conducted a detailed analysis of hypotensive effectiveness of Ex-Press implantation combined with anti-VEGF drugs, antimetabolites (5-Fluorouracil, Mitomycin C), Glautex and Ologen drainages. We described the results of drainage device usage for neovascular, aphakic, pseudophakic glaucoma. We determined indications, modified methods of Ex-Press implantation and best options of combinations with drainages; established safe conditions of magnetic resonance imaging in patients with the implanted device. We presented all possible complications both in the early and late postoperative period. The influence of Ex-Press on endothelial layer of the cornea in dynamics was shown. Оп the basis of literature review it can be noted that Ex-press drainage device has proved to have a long hypotensive effect in patients with PОAG and pseudophakia. Whereas in refractory glaucoma it requires a combination with drainage and anti-metabolites. Implantation of Ex-press requires dynamic monitoring of patients due to the risk of long-term postoperative complications.
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