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The efficacy of combined hypotensive surgery in patients with secondary glaucoma was studied. The main group included 30 patients who underwent deep sclerectomy with angle dilatation, 50 patients after sinusotrabeculectomy served as controls. The results were evaluated in 3 years. Visual acuity reduced by 0.04 compared with early postoperative results in the main group and by 0.1 in control group. In the main group the summarized visual field reduced by 14-15 degrees, in control group--30.5 degrees. IOP rise in the main group was 2 mm Hg, while in control--6.0 mm Hg. Deep sclerectomy with angle dilatation in secondary glaucoma compared with conventional surgery showed to be more effective in terms of stable hypotensive effect, more natural long-term hydrodynamics and prolonged visual functions preservation. LA: Russian
V.N. Alekseev.
12.1 General management, indication (Part of: 12 Surgical treatment)