Fistulizing reoperations in open-angle glaucoma

The authors analyze the results of repeated fistulization surgery (traditional trabeculectomy and that combined with resection of the episclera, and valvular trabeculectomy) in 40 patients (41 eyes) with primary open-angle glaucoma. A follow-up of 6 mos to 4 yrs has shown normalization of the ophthalmic tone in 90.2% of cases, in 65.8% of these this was achieved without drugs. Vision acuity remained unchanged or improved in 58.5% of cases, visual field was preserved or improved in 80.5% of patients. These results have lead the authors to a conclusion that a stable hypotensive effect can be achieved if repeated fistulization is performed outside the site of the primary intervention. If repeated trabeculectomy has to be performed at the site of the primary intervention, it is recommended to be combined with resection of the episclera, this improving the reliability of the hypotensive effect of surgery.     

The optimization of a method of local anesthesia in glaucoma-control operations]

Revising his own experience, the author comes to a conclusion that instillation and subconjunctival anesthesia is sufficient for painless antiglaucoma surgery. Retrobulbar anesthesia and eyelid akinesia are justified only in rare cases. Use of the bridle suture is indicated only for surgery of the patients with a narrow lid slit and deeply sunk eyeball.     

Reconstructive jejuno-gastroplasty in the treatment of operated stomach disease

The results of treatment of 205 patients with operated stomach disease were analyzed. Conservative therapy was effective in 71.7% patients. Surgical treatment was used in 58 (28.3%) patients. Reoperation was performed less than a year after primary surgery in 5.2% patients, 1 to 3 years later -- in 41.4%, 3 to 5 years -- in 36.2%, more than 5 years later - in 17.2% patients. Early after operation complications were observed in 24.1% patients. Clinical and device examinations demonstrate that surgical reconstruction significantly reduces intensity of pathological symptoms in all the patients.