SCIENCE & INNOVATION

DYNAMICS OF THE STATE OF THE CILIARY BODY OF PATIENTS WITH REFRACTORY GLAUCOMA ACCORDING TO THE DATA OF ULTRASONIC BIOMICROSCOPY

13.03.2023 International Scientific Journal "Science and Innovation". Series D. Volume 2 Issue 3

A.V.Vasilenko, F.M.Khamidova

Abstract. Refractory glaucoma is the most severe group of eye diseases caused by increased intraocular pressure. The group of patients with refractory glaucoma includes neovascular glaucoma, repeatedly unsuccessfully operated primary open-angle and angle-closure glaucoma, neglected and untreated primary glaucoma, uveal glaucoma, glaucoma in the aphakic and pseudophakic eye, and congenital glaucoma [1]. It is often accompanied by chronically ongoing pain that cannot be controlled by traditional methods of treatment. Another feature of this type of disease is that it most often occurs in older people who suffer from concomitant serious illnesses, which makes it impossible to perform traditional operations used for glaucoma, or these operations have exhausted their capabilities [10,15]. Thus, neither the use of fistulizing operations, nor the use of traditional variants of cyclodestruction can be considered the operations of choice for painful refractory glaucoma. The use of various drainages does not always justify itself, ranging from the use of tubes made of synthetic materials to xenodrainage. A more modern method, less traumatic to the eye, is the use of laser energy for cyclodestruction. For transscleral cyclophotocoagulation (contact and non-contact methods) use YAG laser, semiconductor, diode and xenon lasers. A decrease in IOP in TSTF occurs due to the destruction of the ciliary epithelium, a decrease in vascular perfusion in the ciliary vessels, as a result of which the ciliary processes atrophy, and also due to an increase in outflow through transscleral filtration and an increase in uveoscleral outflow [2,5,11].

Keywords: transscleral cyclophotocoagulation, congenital glaucoma, operations, pain.