Yag – лазерная иридотомия в комплексном лечении глаукомо - циклитических кризов

Василенко А. В.

Передовая Офтальмология · 2026-yil

Annotatsiya

Relevans. Glaucomatocictic crises (glaucomatocictic crisis syndrome, Kraup-Posner-Schlossmann syndrome) are conditions characterized by a combination of unilateral paroxysmal increases in intraocular pressure and symptoms of cyclitis. The condition is classified as a uveopathy. Attacks (crises) are believed to arise from inflammatory processes and angioedema occurring in the ciliary body and accompanied by hypertension. Impaired vascular permeability, previous serous uveitis, anomalies in the development of the anterior chamber angle, and allergic factors play a role in the development of the disease. In this case, the pupil typically does not dilate and its mobility is preserved. Glaucomatous cyclical crisis is a diagnostically challenging clinical condition and is of significant interest to ophthalmologists. Numerous treatment regimens for glaucomatous cyclical crises have been proposed, but consensus on how to address this issue remains elusive. Purpose of study. To summarize the results of clinical observations of patients with glaucomatous cyclical crisis, optimize drug treatment strategies, and determine the role of laser methods in treatment. Materials and methods. All 16 patients under observation underwent a comprehensive ophthalmological examination, including visometry, tonometry using Goldan and Maklakov, perimetry using an Optopol MDS 2000 device, ophthalmoscopy using direct ophthalmoscopy,and biomicroscopy of the optic disc using a 78.0 D non-contact Gruby lens. The hypotensive drugs used were 0.5% timolol maleate solution and 0.25% dorzalamide. Oral nimesulide was used as a general anti-inflammatory treatment. Iridotomy with a YAG laser MR Q Nd (Meridian), Switzerland, was used as a factor enhancing local hypotensive therapy. Results and conclusion. All patients had a unilateral process. Changes in the anterior segment of the eye characteristic of iridocyclitis were noted: opalescence of the aqueous humor, precipitation on the endothelium, and pupil diameter averaging 2.3 ± 0.6 mm. Good pupillary margin mobility was preserved in 8 eyes, while in another 6 it was sluggish. In 2 eyes, pupil dilation was only possible with repeated atropine instillations. In all cases, the crisis was resolved with a reduction in intraocular pressure. YAG laser iridotomy rightfully occupies a place in the treatment of glaucomatous-cyclitic crises, effectively reducing intraocular pressure, along with the use of anti-inflammatory agents and hypotensive regimens.

Maqola ma’lumotlari
MualliflarВасиленко А. В.
JurnalПередовая Офтальмология
NashriyotБухоро давлат тиббиёт институти
ISSN2181-4236, 2181-4244
Nashr sanasi2026-04-19
Jild16
Son1
Betlar24-27
TilRus
Ilmiy sohaTibbiyot
DOI10.57231/j.ao.2026.16.1.004
Indeksga qo‘shilgan2026-09-02

DOI: 10.57231/j.ao.2026.16.1.004 · Maqolaning asl sahifasi · PDF

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APAВасиленко А. В. (2026). YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ. Передовая Офтальмология, 16(1), 24-27. https://doi.org/10.57231/j.ao.2026.16.1.004
GOST (OAK)Василенко А. В. YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ // Передовая Офтальмология. – 2026. – T. 16, № 1. – С. 24-27. – DOI: 10.57231/j.ao.2026.16.1.004.
MLAВасиленко А. В. “YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ.” Передовая Офтальмология, 16(1), 24-27, 2026. https://doi.org/10.57231/j.ao.2026.16.1.004
ChicagoВасиленко А. В. “YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ.” Передовая Офтальмология, 16(1), 24-27 (2026). https://doi.org/10.57231/j.ao.2026.16.1.004
HarvardВасиленко А. В (2026) ‘YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ’, Передовая Офтальмология, 16(1), 24-27. https://doi.org/10.57231/j.ao.2026.16.1.004
BibTeX
@article{article2026,
  title = {YAG – ЛАЗЕРНАЯ ИРИДОТОМИЯ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ГЛАУКОМО - ЦИКЛИТИЧЕСКИХ КРИЗОВ},
  author = {Василенко А. В.},
  journal = {Передовая Офтальмология},
  year = {2026},
  volume = {16},
  number = {1},
  pages = {24-27},
  doi = {10.57231/j.ao.2026.16.1.004},
  url = {https://doi.org/10.57231/j.ao.2026.16.1.004}
}

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