Erichev V P
Vestn Oftalmol. 2000 Sep-Oct;116(5):8-10.
Refractory glaucoma is a clinical variety of glaucoma remarkable for its resistance to therapy. This determined special approaches to choice of drugs and methods ensuring a stable hypotensive effect as one of the conditions of preserving the visual functions. Original methods for surgical treatment of refractory glaucoma are proposed. New effective operations prevent excessive cicatrices at the site of intervention, one of the major causes of failure of antiglaucoma operations. Ultrasonic cyclodialysis is an effective method for surgical treatment of glaucoma in an aphakic eye. A principally new approach to treatment of refractory glaucoma is based on the use of high-frequency focussed ultrasound, a noninvasive method (sclerocyclodestruction) for attaining the hypotensive effect. The efficiency of the natural cytokine complex in the treatment of refractory glaucoma is due to effects of immunopeptides on repair processes at the site of intervention, which inhibit cell growth and prevent excessive development of cicatricial tissue round newly created routes of humor discharge.
难治性青光眼是青光眼的一种临床类型，其特点是对治疗具有抵抗性。这决定了在选择药物和方法时需要采取特殊途径，以确保稳定的降压效果，这是保留视功能的条件之一。本文提出了难治性青光眼的手术治疗新方法。新的有效手术可防止干预部位出现过多瘢痕，而瘢痕是抗青光眼手术失败的主要原因之一。超声睫状体分离术是无晶状体眼青光眼手术治疗的有效方法。一种全新的难治性青光眼治疗方法基于使用高频聚焦超声，这是一种实现降压效果的非侵入性方法（巩膜睫状体破坏术）。天然细胞因子复合物治疗难治性青光眼的有效性归因于免疫肽对干预部位修复过程的作用，这些免疫肽可抑制细胞生长并防止围绕新形成的房水引流通道过度形成瘢痕组织。
