Проникающие и непроникающие антиглаукомные операции в комбинированной хирургии глаукомы и катаракты (обзор литературы)

Abstract

The combination of diseases such as cataract and glaucoma is a very common phenomenon in the practice of an ophthalmologist. The analysis of various surgical approaches to the treatment of this combined pathology indicates the feasibility of a wider and more active use of combined surgery. The anti-glaucoma component in a one-time intervention can be represented by both fistulizing operations (mainly trabeculectomy) and non-penetrating (most often non-GSE). Those and others have their undeniable advantages and disadvantages in the form of a higher hypotensive effect of penetrating interventions and a low number of complications after non-perforating operations. A limitation for the widespread use of implantation of drainage devices and minimally invasive procedures in the Russian Federation is a number of inaccessibility and high cost of some of them. The search for the most optimal anti-glaucoma component, which has the advantage of both non-penetrating and fistulizing operations to improve the hypotensive and visual results of simultaneous surgical treatment of glaucoma and cataracts, remains relevant today. Key words: glaucoma, cataract, combined surgery, anti-glaucoma surgery, antihypertensive effect, complications.