THE RESULTS OF COMBINED DRAINAGE SURGERY OF REFRACTORY GLAUCOMAS
Objective: To analyze the effectiveness of treatment refractory glaucoma using a valve «Ahmed» and application of a new bioresorbable drainage "Glautex". The study included 14 patients (14 eyes) with refractory glaucoma. Baseline IOP was 28-55 mm Hg. All the patients with refractory uncompensated glaucoma underwent implantation of «Ahmed» drainage system using a new bioresorbable drainage "Glautex". Indication for drainage «Ahmed» use in combination with «Glautex» was the lack of compensation level of intraocular pressure IOP.In terms of up to 3 months follow-up, all patients had a moderate degree of filtration pillows without cystic changes. IOP was recorded within normal levels also in all patients, antihypertensive drops were not applied.Thus, simultaneous implantation of drainage systems «Ahmed» and "Glautex" makes it possible not only to achieve a satisfactory hypotensive effect, but also to preserve residual vision in all patients with refractory glaucoma.