OPTIMIZATION OF INTEGRATED TREATMENT OF PATIENTS OF PRIMARY GLAUCOMA

Relevance. Glaucoma worldwide is one of the leading causes of low vision and blindness, and therefore disability. The progression of the glaucomatous process (neuropathy) is chronic ischemia and hypoxia associated with hemodynamic deficiency and regional and systemic nature. Material and methods. 77 patients (77 eyes) with stage III POAG were observed. Of these, 42 men and 33 women aged 53–78 years. We divided patients into two groups, depending on the therapy. All patients were hospitalized.). A comprehensive examination included general phthalmological examinations: visometry, perimetry, gonioscopy, biomicroscopy, ophthalmoscopy, tonometry, tonography, and retoplegia of the retina vessels. Research results and discussion. In the treatment of the advanced stages of glaucoma, the use of laser trabeculoplasty in the subsequent complex conservative treatment with the administration of the retinalamine subconjunctiva for 10 days is pathogenetically justified.

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