Selection of the Antiglaucoma Component of Combined Surgery for Cataract and Primary Open-Angle Glaucoma
https://doi.org/10.18008/1816-5095-2025-3-500-506
Abstract
Due to the increase in life expectancy and the growth of the contingent of elderly and senile patients, the relevance of combined surgical treatment of diseases characteristic of this age group increases: cataracts and primary open-angle glaucoma. Considering that ultrasound phacoemulsification has become the standard of phaco surgery, when planning a combined surgery, the main task of the surgeon is an adequate choice of the antiglaucoma component of the operation in a patient with cataract and primary open-angle glaucoma. According to the literature the best results are achieved by pathogenetically oriented methods of the antiglaucoma component of the combined operation. In this case an important stage of the surgery is the intraoperative determination of the level of retention of the outflow of intraocular fluid based on the study of the phenomenon of retrograde filling of the Schlemm’s canal with blood during the combined operation, which allows for quick and accurate determination of the retention level and identification of the pathogenetically oriented antiglaucoma component of the operation.
About the Authors
Yu. N. Yusef
Krasnov Research Institute of Eye Disease
Russian Federation
Russian Federation
Yusef Naim Yusef - MD, director.
Rossolimo str., 11A, B, Moscow, 119021
A. S. Vvedenskiy
Krasnov Research Institute of Eye Disease
Russian Federation
Russian Federation
Andrej S. Vvedenskiy - MD, senior researcher.
Rossolimo str., 11A, B, Moscow, 119021
M. N. Ivanov
Krasnov Research Institute of Eye Disease
Russian Federation
Russian Federation
Michail N. Ivanov - MD, deputy director.
Rossolimo str., 11A, B, Moscow, 119021
N. D. Fokina
Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Natalia D. Fokina - PhD, Assistant Professor of the Ophthalmoly department.
Bol’shaya Pirogovskaya str., 2/4, Moscow, 119991
N. Yu. Shkolyarenko
Krasnov Research Institute of Eye Disease
Russian Federation
Russian Federation
Natalia Yu. Shkolyarenko - PhD, senior researcher.
Rossolimo str., 11A, B, Moscow, 119021
K. K. Kulish
Krasnov Research Institute of Eye Disease
Russian Federation
Russian Federation
Кristina K. Кulish - clinical resident.
Rossolimo str., 11A, B, Moscow, 119021
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Review
For citations:
Yusef Yu.N., Vvedenskiy A.S., Ivanov M.N., Fokina N.D., Shkolyarenko N.Yu., Kulish K.K. Selection of the Antiglaucoma Component of Combined Surgery for Cataract and Primary Open-Angle Glaucoma. Ophthalmology in Russia. 2025;22(3):500-506. (In Russ.) https://doi.org/10.18008/1816-5095-2025-3-500-506
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