Nadezhda A Pozdeyeva¹, Nadezhda Yu Gorbunova², Ivan A Frolychev³ and Roman A Yakovlev⁴

¹Director of the Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution 10, and Professor of the Department of Ophthalmology, Postgraduate Doctors Training Institute of the Ministry of Public Health of Chuvashia, Russian Federation Ophthalmologist, Head of Glaucoma Department of the Cheboksary branch of the S. Fyodorov Eye
²Microsurgery Federal State Institution, and Associate Professor of the Department of Ophthalmology, Postgraduate Doctors Training Institute of the Ministry of Public Health of Chuvashia, Russian Federation
³Head of the Research and Educational Department, Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution and Associate Professor of the Department of Ophthalmology, Postgraduate Doctors Training Institute of the Ministry of Public Health of Chuvashia, Russian Federation
⁴Ophthalmologist of Glaucoma, Department of the Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Russian Federation

*Corresponding Author: Roman A Yakovlev, Ophthalmologist of Glaucoma, Department of the Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Russian Federation.

Received: December 28, 2023; Published: January 04, 2024

Abstract

Secondary glaucoma is one of the main problems of rehabilitation of patients with traumatic damage of iris.

Purpose: To analyse remote results of rehabilitation of patients with posttraumatic aniridia and glaucoma.

Materials and Methods: The study included 310 patients (310 eyes) with post-traumatic aniridia post implantation of an artificial iris-lens diaphragm (ILD) MIOL-Iris© (Reper NN, Nizhny Novgorod) in the period from 2002 to 2022. 61 patients (22.8%) had secondary glaucoma before ILD implantation, of which 35 patients (11.3%) underwent various modifications of glaucoma surgeries (GS). In 26 patients (8.6%), intraocular pressure (IOP) was compensated by medication before ILD implantation.

Results: By 3rd month post ILD implantation, IOP was increased over time in some patients. 8 patients (22.9%) out of 35 with previous GS have exhibited decompensation. In glaucoma patients treated before ILD implantation, IOP decompensation occurred in 21 (80.8%) of 26 cases. 21 patients (6.8%) out of 310 had de novo glaucoma post ILD implantation. The IOP compensation post ILD implantation was mainly followed by the Ahmed valve implantation performed in 35 cases (70%) out of 50, deep sclerectomy (DSE) performed in 5 cases (10%), non-penetrating deep sclerectomy (NDSE) – in 4 cases (8%), micro-pulse laser cyclophotocoagulation (MicroLCPC) – in 5 cases (10%), endoscopic cyclophotocoagulation (ECPC) – in 1 case (2%).

Conclusion: ILD implantation in patients with posttraumatic aniridia and secondary glaucoma should be performed under IOP compensation without hypotensive therapy not earlier than 6-12 months post GS. The most optimal types of GS in this group of patients are implantation of the Ahmed valve and MicroLCPC.

Keywords: Posttraumatic Aniridia; Secondary Glaucoma; Iris-Lens Diaphragm

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Citation

Citation: Roman A Yakovlev., et al. “Rehabilitation of Patients with Posttraumatic Aniridia and Secondary Glaucoma".Acta Scientific Ophthalmology 7.2 (2024): 05-11.

Copyright

Copyright: © 2024 Roman A Yakovlev., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.