[Three-component tear substitute as preoperative support in glaucoma surgery]
N V Makashova1, A E Vasillyeva2, O Yu Kolosova2
1Krasnov Research Institute of Eye Diseases, Moscow, Russia.
Vestnik Oftalmologii
|July 4, 2024
Summary
Preoperative use of Stillavit, a tear substitute, significantly reduces intraocular pressure elevation after glaucoma surgery. This preparation improves filtering bleb outcomes and lowers the risk of postoperative complications.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Ocular Surface Disease
Context:
- Patients with glaucoma often undergo long-term topical therapy, potentially affecting ocular surface health.
- Preoperative optimization of the ocular surface may influence surgical outcomes.
- Glaucoma surgery aims to reduce intraocular pressure (IOP) and preserve vision.
Purpose:
- To evaluate the impact of preoperative preparation with the three-component tear substitute Stillavit on glaucoma surgery outcomes.
- To assess the effect of Stillavit on intraocular pressure and filtering bleb morphology post-surgery.
Summary:
- A study compared 63 glaucoma patients: 33 received Stillavit preoperatively, while 30 did not.
- Postoperative intraocular pressure was significantly lower in the Stillavit group.
- Favorable diffuse filtering blebs were observed in 87.9% of the Stillavit group versus 66.7% in the control group.
- Stillavit reduced the odds of IOP elevation by over 10 times at 3 months postoperatively.
Impact:
- Preoperative Stillavit use significantly reduces early postoperative intraocular pressure elevation.
- Stillavit may mitigate filtering bleb scarring, potentially improving long-term surgical success.
- This preparation offers a promising strategy to enhance outcomes in glaucoma surgery patients.
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