FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to ophthalmology. When the values of the individual level of intraocular pressure are reached against the background of drug treatment, the patient is given laser treatment. First, laser iridectomy is performed, eliminating the reverse pupillary block with sagging of the root zone of the iris posteriorly. Then, 4 weeks after laser iridectomy, selective laser trabeculoplasty is performed along the lower segment of the trabecula. A month after selective laser trabeculoplasty, the hypotensive effect and the effectiveness of photothermolysis are assessed by the degree of residual pigmentation. With the second and higher degree of pigmentation, selective laser trabeculoplasty is performed every 4-6 months, until pigmentation of the 1st degree or its absence is obtained along the entire circumference of the trabecular network.
EFFECT: method makes it possible to effectively and safely treat pigmentary glaucoma due to the normalization of the hydrodynamics of the eye, to improve the outflow of intraocular fluid along the main trabecular pathway, to reduce the number of installations or to cancel the use of medications to reduce intraocular pressure.
1 cl, 1 ex
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Authors
Dates
2021-11-08—Published
2021-02-19—Filed