COMPARATIVE ANALYSIS OF USING EX-PRESS DRAINAGE DEVICE AND POLYMER MICRO SHUNT В«REPER-NN» MANUFACTURED IN RUSSIA IN PRIMARY OPEN-ANGLE GLAUCOMA SURGERY
Oleg Lvovich FABRIKANTOV1,2, Oksava Anatol’yevna KOLPAKOVA3
1S.N. Fedorov NMRC В«MNTK В«Eye Microsurgery», Tambov Branch
2Tambov State University n.a. G.R. Derzhavin
3S.N. Fedorov NMRC В«MNTK В«Eye Microsurgery», Tambov Branch, S. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Tambov Branch
Keywords: глаукома, внутриглазное давление, полимерный микрошунт «Репер-НН», шунт «Ex-PRESS», glaucoma, intraocular pressure, polymer micro shunt «Reper-NN», «Ex-Press» shunt
Abstract
Purpose of the study was to analyze and compare the outcomes of implantation of polymer micro shunt «Reper-NN» manufactured in Russia and «Ex-PRESS» shunt in surgical treatment of open-angle glaucoma. Material and methods. The results of treating 74 patients with open-angle glaucoma were analyzed. All patients were divided into 2 groups: group I consisted of 48 patients underwent micro shunt «Ex-PRESS» implantation, group II with 26 patients underwent Russian polymer micro shunt implantation. The control criteria in the early and remote postoperative period were: Maklakov tonometry, visual acuity, computer perimetry. Results and discussion. The significant reduction in intraocular pressure compared with the preoperative level has been achieved in the early and remote period as a result of implanting both shunts. The implantation simplicity and design features of polymer micro shunt «Reper-NN» provided with the relatively similar to «Ex-PRESS» shunt risks of complications such as postoperative hypotonia and ciliochoroidal detachment. Thus, the first experience of using Russian manufactured polymer shunt showed the sufficient efficacy and safety in primary open-angle glaucoma surgery and allowed recommending its further application in clinical practice.
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