Prevention of excessive scarring in terminal glaucoma

Abstract

The results of present study of surgical treatment of terminal glaucoma by prevention of excessive scarring using the method of auto drainage of filtration zone are presented. Remote results of clinical studies have shown that the patients of the main group, the operation resulted in a significant decrease of intraocular pressure (IOP), after the subsequent observation period IOP gradually increased within normal variation (20–23 mm Hg), and it stabilized by 6 months after treatment and averaged 21.1 ± 1.3 mm Hg. The decrease of the height of filtration cushion (FC) was not observed in 6 months period in the patients of the main group. The proposed operation of deep sclerectomy with auto drainage of the filtration zone, which contributed to a significant improvement in tonometric parameters that made it possible to increase the effectiveness of terminal glaucoma treatment.