[Technique and results of modified trabeculectomy]

The author suggests double trabeculectomy with episclera resection and anguloplasty to be performed in cases with uncompensated open-angle glaucoma. Each of the elements of such surgery is aimed at slowing down the reparative processes in various sections of the fistulous route and therefore this route can function longer. Forty-six patients (50 eyes) with primary open-angle glaucoma were operated on. Normalization of the ophthalmic tone immediately after surgery was achieved in 100% of cases. The results of surgery were followed up in 30 patients (32 eyes) for 6 months to 2 years. Stable normalization of intraocular pressure was achieved in 97% of cases, vision acuity in 81%, and visual field in 91% of those operated on. Good stable hypotensive effect of such surgery recommends it most of all for patients at a high risk of excessive cicatrization (young patients, repeated surgery, etc.).