RESULTS OF TREATMENT OF EARLY POSTOPERATIVE COMPLICATIONS IN CHILDREN WITH PRIMARY CONGENITAL GLAUCOMA
Ключевые слова:
primary congenital glaucoma, anti-glaucomatous surgery, early postoperative complicationsАннотация
Introduction. The prevalence of glaucoma in children ranges from 1:10,000 to 1:12,000. In the structure of blindness in children, the proportion of the pathology in question is from 2 to 15% [2.9]. The goal of surgical treatment of glaucoma is to achieve the target IOP without the use of drugs [1.5]. Early complications include small anterior chamber syndrome, hyphema, ciliochoroidal detachment, excessive hypotension and hypertension. The probability of these complications is quite high: according to some data, it can reach 50%, which indicates the relevance of this problem [7.4].
Goals and objectives. To study the nature of early postoperative complications in children with primary congenital glaucoma and methods of their correction after antiglaucoma surgery using a combined method with a simultaneous effect on 3 outflow tracts.
Methods. The total number of children was 151 (270 eyes), who underwent antiglaucoma surgery using a combined method and early postoperative complications were detected.
Results. Analysis of the structure of early postoperative complications after antiglaucoma surgery showed that on the first day the total number of patients was 62.6%. On the third day, the total number of patients with complications increased to 67.4%. Of these, the largest number were patients with severe hypotension 33.3%, hyphema -10.0% and ocular hypertension - 6.7%. After conservative treatment, on the seventh day, the total number of complications decreased and was 10%.
Conclusion. Thus, after conservative treatment, the number of complications in the early postoperative period decreased by 52.6%. There was no need for repeated surgical intervention in these patients. Patients were discharged home under the supervision of an ophthalmologist at their place of residence.
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