“Glautex” in refracter glaucoma fistulizing surgery

Abstract

One of the problems of fistulizing surgery in glaucoma is the appearance of the healing process in the area of the intervention and in a number of cases the pressure changes are gradually limited. The Intraocular Pressure is rising again. To prevent this disadvantage, new surgical methods are proposed to avoid these evolutionary deficiencies. Elaboration and development in clinical practice of new ways and remodeling of pathogenic orientation for glaucoma microsurgery techniques to ensure safe and sustainable reduction of IOP as well as stabilization of the visual functions of patients with glaucoma. The authors propose the inclusion under the scleral and conjunctival flap of different auto or allodrainage.[1] However, we propose the use of bioabsorbent drainage „Glautex” model DDA and SDA in refractory glaucoma surgery.The study included 24 glaucoma patients, the age of the patients being between 4263 years, who previously underwent fistulizing intervention. Preoperatively, all patients underwent complex examination. In all patients, surgery was performed on the previously unaffected area. The observation period was 1 year, during which time the patients were examined in a complex schedule every 1-3-6-12 months. The implantation of the “Glautex” drainage model DDA and SDA allowed the reduction of IOP and the maintenance of hypotensive effect in the early postoperative period in all cases and at a distance of 1 year postoperatively, IOP being 20.5 ± 2.5 mmHg, at 17 eyes (70, 8%) without the use of drug therapy, in 4 (16.6%) cases on a monotherapy background, in 2 eyes (8.3%) they needed combined drugs, in one case IOP was undercompensated (4.1%). Moderately diffuse filtration bubble in 95.9% of cases, and in 4.1% of cases the bubble is flat. Trabeculectomy with bioabsorbent drainage implant “GLAUTEX” a new variant that aims to prevent the sclero-scleral and sclero-conjunctival healing process.