Pathophysiological features of development, clinical features and treatment of malignant glaucoma

Abstract

Malignant glaucoma is a difficult task for an ophthalmologist in the treatment process. This is a multifactorial condition that occurs in anatomically predisposed eyes. Malignant glaucoma remains one of the most severe clinical forms of glaucoma requiring timely diagnosis and immediate treatment. Diagnostic issues, pathophysiological mechanisms of development and methods of treatment are still controversial. The diagnosis of malignant glaucoma is often late due to similarity with some other pathological conditions. In many cases malignant glaucoma is resistant to medication and laser treatment. Surgical treatment of malignant glaucoma is complex and not always effective. The review discusses the possible pathophysiological mechanisms of development, diagnostic methods of research, as well as the applied conservative, laser and surgical methods of treatment of malignant glaucoma.

Differential Reorganization of Structural Elements of the Iridociliary and Perenticular Zones in the Hydrodynamic Blocks Formation

“…Многочисленные исследования доказали, что ведущим фактором риска ЗУГ является дисбаланс основных параметров глаза, связанный с его малым аксиальным размером, определяющим наличие гиперметропической рефракции. При этом увеличение в течение жизни объёма внутриглазных структур рассматривают в качестве предиктора нарушения оттока внутриглазной влаги на претрабекулярном уровне [17,18,19,20,21,22].…”