Bakutkin V V, Saprykin P I
Oftalmol Zh. 1990(7):414-6.
In 210 patients (210 eyes) with open-angle glaucoma, remote results (3 years) after sinusotrabeculectomy in Cairns-Krasnov's modification were compared with those after optimised performance of main surgical stages. Separation of a scleral flap at the depth of 350-400 mcm, localization of the drainage system by a developed microdiaphanoscopic method and subsequent removal of a fragment of the Schlemm canal and trabeculae provide a more stable hypotensive effect and preserve visual functions as compared with results of traditional methods. High effectiveness of the method is connected with avoiding of such variants of the surgical technique that can lead to development of complications.
在210例（210只眼）开角型青光眼患者中，对采用凯恩斯 - 克拉斯诺夫改良术式行鼻窦小梁切除术3年后的远期效果与主要手术阶段优化操作后的效果进行了比较。与传统方法的结果相比，在350 - 400微米深度分离巩膜瓣、通过改进的显微透照法定位引流系统以及随后切除施莱姆管和小梁的片段，可提供更稳定的降压效果并保留视觉功能。该方法的高效性与避免可能导致并发症发生的手术技术变体有关。
