Results of sinustrabeculectomy with simultaneous laser cyclocoagulation in micropulse mode in patients with angle-closure glaucoma
https://doi.org/10.52888/0514-2515-2026-369-2-109-114
Abstract
Objective: To evaluate the efficacy and safety of sinustrabeculectomy (STE) and simultaneous micropulse laser cyclocoagulation (mLCC) in patients with angle-closure glaucoma.
Material and Methods: Data regarding the efficacy and safety of STE (25 eyes) and simultaneous STE and mLCC (25 eyes) in patients with chronic angle-closure glaucoma with a follow-up period of 12 months were analyzed.
Results: After STE, the Intraocular Pressure (IOP) decreased from 28.2±5.8 mmHg to 23.7±7.0 mmHg after 12 months. After STE with simultaneous mLCC the IOP decreased from 30.6±6.7 mmHg to 20.2±3.2 mmHg. After surgery, antihypertensive drugs were prescribed in 7 of 25 (28%) eyes of the main group, and in 12 of 25 eyes (48%) (p<0.05) of the control group. There were no cases of persistent hypotension, postoperative iridocyclitis, ocular hypertension with ostium blockage, or phthisis bulbi.
Conclusions: STE with a simultaneous mLCC is a more effective and safer method of treating angle-closure glaucoma.
About the Authors
S. Kh. Kholmatov
Eye clinic «Bosira»;
Department of Ophthalmology SEI Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Saidjafar Khilolovich Kholmatov - postgraduate student
tel.: +992927609060
Dushanbe
Kh. J. Karim-zade
Department of Ophthalmology SEI Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Karim-Zade Khakima Jangovarovna - candidate of Medical Sciences, Associate Professor
Dushanbe
Sh. K. Makhmadzoda
Department of Ophthalmology SEI Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Makhmadzoda Shamsullo Kurbon - Ph.D., Associate Professor, Head of the Department of Ophthalmology
Dushanbe
References
1. Egorov V.V., Postupaev A.V., Postupaev N.V. Results of the use of microimpulse cyclophotocoagulation in the treatment of patients with primary openangle glaucoma. Clinical ophthalmology. 2022;22(4):204-209.
2. Aung T., Tow S.L., Yap E.Y., et al. Trabeculectomy for acute primary angle closure. Ophthalmology. 2000;107:1298-1302.
3. Cheng J.W., Zong Y., Zeng Y.Y., et al. The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis. PLoS One. 2014;24:e103222.
4. Day A.C., Baio G., Gazzard G., et al. The prevalence of primary angle closure glaucoma in European derived populations: a systematic review. Br J Ophthalmol. 2012;96:1162-1167.
5. Fortune B., Choe T.E., Reynaud J., et al. Deformation of the rodent optic nerve head and peripapillary structures during acute intraocular pressure elevation. Invest Ophthalmol Vis Sci. 2011;52:6651-6661.
6. Ganesh S.K., Rishi K. Necrotizing scleritis following diode laser trans-scleral cyclophotocoagulation. Indian J Ophthalmol. 2006;54:199-200.
7. National Institute for Health and Care Excellence. Glaucoma: diagnosis and management. London, UK; 2017. 31 p.
8. Kwong Y.Y., Tham C.C., Leung Y., et al. Scleral perforation following diode laser trans-scleral cyclophotocoagulation. Eye. 2006;20:1316-1317.
9. Lai J.S., Tham C.C., Chan J.C., et al. Diode laser transscleral cyclophotocoagulation as primary surgical treatment for medically uncontrolled chronic angle closure glaucoma: long-term clinical outcomes. J Glaucoma. 2005;14:114-119.
10. Liu W., Chen Y., Lv Y., et al. Diode laser transscleral cyclophotocoagulation followed by phacotrabeculectomy on medically unresponsive acute primary angle closure eyes: the long-term result. BMC Ophthalmol. 2014;14:26.
11. Manna A., Foster P., Papadopoulos M., et al. Cyclodiode laser in the treatment of acute angle closure. Eye. 2012;26:742-745.
12. Rulli E., Biagioli E., Riva I., et al. Efficacy and safety of trabeculectomy vs nonpenetrating surgical procedures: a systematic review and meta-analysis. JAMA Ophthalmol. 2013;131:1573-1582.
13. Tan A.M., Chockalingam M., Aquino M.C., et al. Micropulse transscleral diode laser cyclophotocoagulation in the treatment of refractory glaucoma. Clin Exp Ophthalmol. 2010;38:266-272.
14. Zhang S.H., Dong F.T., Mao J., et al. Factors related to prognosis of refractory glaucoma with diode laser transscleral cyclophotocoagulation treatment. Chin Med Sci J. 2011;26:137-140.
Review
For citations:
Kholmatov S.Kh., Karim-zade Kh.J., Makhmadzoda Sh.K. Results of sinustrabeculectomy with simultaneous laser cyclocoagulation in micropulse mode in patients with angle-closure glaucoma. Health care of Tajikistan. 2026;(2):109-114. (In Russ.) https://doi.org/10.52888/0514-2515-2026-369-2-109-114
Views:
11
JATS XML
Email this article 