[Efficiency in the dispensary care and surgical treatment of glaucoma patients]

The number of blind and poor-sighted patients with glaucoma remains high, which is due to improper organization of treatment of this patient population, among other things. Surgery is an important treatment modality; its effect is higher in patients with the initial stages of disease, which is seen from our observations. Normal intraocular pressure and high visual acuity are retained for 10 years and longer in patients operated on with stage I glaucoma. In patients with developed and far-advanced glaucoma administered complex treatment after surgery, including retrobulbar injections of trental (0.5 ml, 10 injections per course), cerebrolysin (0.5 ml, 10 injections per course), and electric stimulation of the visual analyzer, the glaucomatous process was arrested, visual acuity improved, and visual field extended. In patients with lens opacity, cataracts were extracted and intraocular lenses were implanted; this improved visual acuity without correction. Due to early diagnosis of glaucoma and properly organized regular check-ups of patients (including complex and timely surgery) vision improved and glaucomatous process stabilized in the majority of patients.