METHOD OF SURGICAL MANAGEMENT OF PRIMARY GLAUCOMA OF EYES WITH CATARACT - ENZYMATIC TRABECULOCLEANING

摘要

FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, namely ophthalmology and aims at surgical management of the patients with primary glaucoma of eyes with cataract. That is ensured by cataract phacoemulsification and implantation of an IOL. It is followed by inducing miosis, and a physiologic saline jet is directed on a trabecular zone along the whole circular length, and the content of an anterior chamber is non-contact aspirated simultaneously. After that, a proteolytic enzyme is introduced in the anterior chamber in a dose sufficient to destruct fibronectin and adhesive proteins. Hemase may be used as a proteolytic enzyme. ^ EFFECT: method provides stable and adequate improvement of intraocular pressure and fluid outflow in a drainage system with reduced injures accompanying a combined operation in the patients with primary compensated or subcompensated glaucoma combined with cataract. ^ 3 cl, 1 ex