FIELD: medicine.
SUBSTANCE: patient suffering glaucoma is examined. Conditions of an angle of an anterior chamber (AAC) and a crystalline lens are assessed. If a total opening of the AAC and the presence of the native crystalline lens (V0 glaucoma) have been detected, a single-stage phacoemulsification with an intraocular lens (IOL) implantation combined with a non-penetrating deep sclerectomy (NDSE) is performed. If the examination shows the total opening of the AAC in the presence of pseudophakia (V1 glaucoma) or double "piggyback" IOLs (V11 glaucoma), a micro by-passing is performed. If the detected total opening of the AAC is combined with the presence of the phakic IOLs (V10 glaucoma), the phakic IOL removal, the PE with the IOL implantation, and the NDSE are performed within the single-stage intervention. If observing a partial opening of the AAC and the presence of the native crystalline lens (Y0 glaucoma), the PE with the IOL implantation is performed. If the patient has the partial opening of the AAC accompanied by complicated pseudophakia (Y1 glaucoma) or complicated "piggyback" pseudophakia (Y11 glaucoma), the intervention involves a reparative surgery and the above NDSE. The partial opening of the AAC combined with the phakic IOL (Y10 glaucoma) requires the single-stage phakic IOL removal, PE with the IOL implantation.
EFFECT: method enables achieving improving or preserving the visual functions in the patients with glaucoma, stabilising the glaucoma process for a long period of time by taking into account a complex of the abnormal characteristics to be corrected simultaneously.
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Authors
Dates
2015-07-10—Published
2014-06-26—Filed