Abstract
On the clinical case the article presents our first experience of the use of Ex-Press shunt in combination with hemostatic sponge in obstinate (resistant) glaucoma surgery, which requires a special approach to the choice of means and methods of treatment because of the low efficiency of conventional methods. The technology of the surgery distinguishes with its minimal invasiveness, absence of necessity in scleroticectomy or iridectomy, provides reliable and consistent normalization of intraocular pressure. Good conditions for the formation of a consistent filtering bleb are created in combination with the use of gelatinous hemostatic sponge, because the processes of formation of conjunctival and scleral as well as scleral adherences in the area of surgical interference are prevented. The use of a sponge reduces the possibility of haemorrhagic intraoperative and postoperative complications, and significantly reduces the period of post-operative ocular hypotony.
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