ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2022-2-242-246ophthalmology-1838Research ArticleОБЗОРЫREVIEWSСовременные стратегии использования селективной лазерной трабекулопластики в лечении глаукомы. Обзор литературыModern Strategies for Using Selective Laser Trabeculoplasty in Treatment of Glaucoma. ReviewШмелева-КенуфиО. А.Shmeleva-KenoufiO. A.

кандидат медицинских наук, врач-офтальмолог отделения офтальмологии,

Ломоносовский проспект, 27/10, Москва, 119234

PhD, ophthalmologist of the Ophthalmology department,

Lomonosovsky ave., 27/10, Moscow, 119234

chiks29@rambler.ruМельникМ. А.MelnikM. A.

врач-офтальмолог отделения офтальмологии,

Ломоносовский проспект, 27/10, Москва, 119234

ophthalmologist of the Ophthalmology department,

Lomonosovsky ave., 27/10, Moscow, 119234

МамиконянВ. Р.MamikonyanV. R.

доктор медицинских наук, заведующий отделением офтальмологии,

Ломоносовский проспект, 27/10, Москва, 119234

MD, Professor, head of the Ophthalmology department,

Lomonosovsky ave., 27/10, Moscow, 119234

МухаА. И.MukhaA. I.

доктор медицинских наук, врач-офтальмолог консультативно-диагностического отделения,

Ломоносовский проспект, 27/10, Москва, 119234

MD, ophthalmologist of the consultative and diagnostic department,

Lomonosovsky ave., 27/10, Moscow, 119234

Медицинский научно-образовательный центр Московского государственного университета имени М.В. ЛомоносоваРоссияMedical Research and Education Center of the Moscow State University named after M.V. LomonosovRussian Federation202230062022192242246Copyright © Шмелева-Кенуфи О.А., Мельник М.А., Мамиконян В.Р., Муха А.И., 20222022Шмелева-Кенуфи О.А., Мельник М.А., Мамиконян В.Р., Муха А.И.Shmeleva-Kenoufi O.A., Melnik M.A., Mamikonyan V.R., Mukha A.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1838

В данном обзоре проведен анализ данных по эффективности использования лазерных методов лечения пациентов с глаукомой, а именно селективной лазерной трабекулопластики (СЛТ). Авторами проанализированы источники отечественной и зарубежной литературы за 1996–2020 гг. В обзоре отражены история применения данного метода, а также обоснованность выбора метода при различных формах глаукомы. Приведены сведения по эффективности первичной и повторной СЛТ, по данным различных авторов, в зависимости от модификаций процедуры. Доказано, что СЛТ является той лечебной лазерной процедурой, которая позволяет повысить безопасность и эффективность лечения глаукомы. Необходимо продолжать исследования по изучению возможностей ее применения в качестве альтернативы медикаментозной терапии при выборе тактики лечения впервые выявленной начальной глаукомы. 

This review analyzes the data on the effectiveness of the use effectiveness of the use of laser methods for the treatment of patients with glaucoma, namely selective laser trabeculoplasty. The authors analyzed the sources of domestic and foreign literature for 1996–2020. The review reflects the history of application of this method, as well as the rationale for choosing it, as the treatment for various forms of glaucoma. The efficiency of once or repeatedly applied procedures, depending also on the modification of SLT used, are presented according different authors. So far, SLT has been proven to be the laser treatment that improves the safety and efficacy of glaucoma treatment. It is necessary to continue research to study the possibilities of using it as an alternative to local hypotensive therapy, when choosing a treatment strategy for newly diagnosed initial glaucoma. 

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The authors declare that there are no conflicts of interest present.