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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ophthalmology</journal-id><journal-title-group><journal-title xml:lang="ru">Офтальмология</journal-title><trans-title-group xml:lang="en"><trans-title>Ophthalmology in Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1816-5095</issn><issn pub-type="epub">2500-0845</issn><publisher><publisher-name>Ophthalmology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18008/1816-5095-2025-4-777-785</article-id><article-id custom-type="elpub" pub-id-type="custom">ophthalmology-2804</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОФТАЛЬМОХИРУРГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OPHTHALMOSURGERY</subject></subj-group></article-categories><title-group><article-title>Лазерное лечение глаукомы у детей</article-title><trans-title-group xml:lang="en"><trans-title>Laser Treatment of Glaucoma in Children</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8938-2943</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арестова</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Arestova</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арестова Наталия Николаевна - доктор медицинских наук, доцент кафедры глазных болезней лечебного факультета, ведущий научный сотрудник отдела патологии глаз у детей.</p><p>Ул. Садовая-Черногрязская, 14/19, Москва, 105062; Ул. Долгоруковская, 4, Москва, 127006</p></bio><bio xml:lang="en"><p>Arestova Nataliya N. - MD, leading researcher, Department of Pediatric Eye Pathology, Associate Professor of the Eye Diseases Department.</p><p>Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062; Dolgorukovskaya str., 4, Moscow, 127006</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2103-1570</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Панова</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Panova</surname><given-names>A. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Панова Анна Юрьевна научный сотрудник отдела патологии глаз у детей.</p><p>Ул. Садовая-Черногрязская, 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Panova Anna Yu. - researcher of the Pediatric Eye Pathology Department.</p><p>Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр глазных болезней им. Гельмгольца» Министерства здравоохранения Российской Федерации; Научно-образовательный институт клинической медицины им. Н.А. Семашко ФГБОУ ВО «Российский университет медицины»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases; N.A. Semashko Scientific and Educational Institute of Clinical Medicine of the Russian University of Medicine</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр глазных болезней им. Гельмгольца» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2025</year></pub-date><volume>22</volume><issue>4</issue><fpage>777</fpage><lpage>785</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Арестова Н.Н., Панова А.Ю., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Арестова Н.Н., Панова А.Ю.</copyright-holder><copyright-holder xml:lang="en">Arestova N.N., Panova A.Y.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.ophthalmojournal.com/opht/article/view/2804">https://www.ophthalmojournal.com/opht/article/view/2804</self-uri><abstract><sec><title>Цель</title><p>Цель: анализ возможности и эффективности лазерных операций при глаукоме у детей.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Проведен анализ 679 разных типов лазерных операций при глаукоме у детей, таких как иридотомия, иридэктомия, гониосинехиотомия, передняя и задняя синехиотомия, деструкция зрачковых мембран, передняя гиалоидотомия, непрерывно волновая и микроимпульсная диод-лазерная транссклеральная циклофотокоагуляция. Лазерные операции были выполнены в отделе патологии глаз у детей ФГБУ «НМИЦ ГБ им. Гельмгольца». Возраст детей — от 2 мес. до 17 лет (из них 1/3 детей — до 3-х лет).</p></sec><sec><title>Результаты</title><p>Результаты. Основными показаниями к ИАГ лазерной реконструктивной хирургии являются: зрачковый блок, блок внутренней фистулы после трабекулэктомии, гониосинехии, иридокорнеальные сращения, зрачковые мембраны. Определены наиболее востребованные и эффективные ИАГ-лазерные вмешательства при глаукоме у детей: иридэктомия, рефистулизация после трабекулэктомии (синехиотомия, коррекция внутренней фистулы и колобомы радужки), деструкция зрачковых мембран.</p></sec><sec><title>Заключение</title><p>Заключение. Клинический полиморфизм глаукомы у детей обусловливает многообразие видов блокады путей оттока ВГЖ, некоторые из них можно устранить путем лазерного воздействия. ИАГ-лазерная хирургия — эффективное неинвазивное малотравматичное средство коррекции осложнений гипотензивных операций (чаще трабекулэктомии), удаления катаракты, увеита и их последствий. Лазерные антиглаукомные операции — достойная альтернатива повторным инструментальным антиглаукомным операциям со вскрытием глазного яблока. Наш опыт позволяет рекомендовать шире внедрять эти операции в клиническую практику.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Purpose</title><p>Purpose: tо analyze the possibility and effectiveness of laser surgery for glaucoma in children.</p></sec><sec><title>Materials and methods</title><p>Materials and methods. An analysis of 679 different types of laser surgeries for glaucoma in children was performed: iridotomy, iridectomy, goniosynechotomy, anterior and posterior synchotomy, destruction of pupillary membranes, anterior hyaloidotomy, continuous-wave and micropulse diode laser transscleral cyclophotocoagulation. Laser surgeries were performed in the Department of Pediatric Eye Pathology of the Helmholtz National Medical Research Center of Eye Diseases. The age of children ranged from 2 months to 17 years (including 1/3 of children under 3 years of age).</p></sec><sec><title>Results</title><p>Results. The main indications for YAG laser reconstructive surgery are: pupillary block, internal fistula block after trabeculectomy, goniosynechia, iridocorneal adhesions, pupillary membranes. The most popular and effective YAG laser interventions for childhood glaucoma are determined: iridectomy, refistulization after trabeculectomy (synechectomy, correction of internal fistula and iris coloboma), destruction of pupillary membranes.</p></sec><sec><title>Conclusion</title><p>Conclusion. Clinical polymorphism of glaucomas in children determines the diversity of types of blockade of the outflow tract of the intraocular fluid, some of which can be eliminated by laser. YAG laser surgery is an effective non-invasive low-traumatic means of correcting complications of hypotensive operations (usually trabeculectomy), cataract removal, uveitis and their consequences. Laser glaucoma operations are a worthy alternative to repeated instrumental glaucoma surgery with opening of the eyeball. Our experience allows us to recommend widespread implementation of these operations into clinical practice.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>детская глаукома</kwd><kwd>зрачковый блок</kwd><kwd>гониосинехии</kwd><kwd>иридокорнеальные сращения</kwd><kwd>ИАГ-лазерные операции</kwd><kwd>иридэктомия</kwd><kwd>синехиотомия</kwd><kwd>деструкция зрачковых мембран</kwd><kwd>диод-лазерная циклофотокоагуляция</kwd></kwd-group><kwd-group xml:lang="en"><kwd>childhood glaucoma</kwd><kwd>children</kwd><kwd>pupillary block</kwd><kwd>goniosynechiae</kwd><kwd>iridocorneal adhesions</kwd><kwd>YAG laser surgeries</kwd><kwd>iridectomy</kwd><kwd>synechotomy</kwd><kwd>destruction of pupillary membranes</kwd><kwd>diode laser cyclophotocoagulation</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">никто из авторов не имеет финансовой заинтересованности в представленных материалах или методах</funding-statement><funding-statement xml:lang="en">no author has a financial or property interest in any material or method mentioned</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Thau A, Lloyd M, Freedman S. 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