Suplement
do nr. 1/2003

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Zabiegi cyklodestrukcyjne - alternatywna
metoda leczenia obniżającego ciśnienie wewnątrzgałkowe
Cyclodestructive procedures - alternative methods of reducing intraocular pressure
Jerzy Szaflik, Justyna Izdebska, Danuta Zawadzka, Marcin G.
Prost
Katedra i Klinika Okulistyki II Wydziału Lekarskiego
Akademii Medycznej w Warszawie
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Kierownik: prof. dr hab. med. Jerzy Szaflik |
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| Summary: |
Purpose: the aim of this work is to present types of
cyclodestructive procedures, such as glaucomatous surgical methods. We describe the
general indications for these procedures, their advantages and disadvantages, possible
complications as well as our therapeutic results after treatment with the use of
particular methods. Discussion: cyclodestructive procedures could be considered as an
alternative method of reducing patient's intraocular pressure instead of surgical and
farmacological antiglaucomatous treatment that has proved to fail. However, it has to be
mentioned that these methods have a very traumatic course and carry a high rate of side
effect incidence. Therefore they should be used as the last chance procedures in order to
save the eye ball. Where available, cyclophotocoagulation is the desired effective method
of choice for reducing intraocular pressure in non-regulated glaucoma. It carries
significantly less morbidity and a lower rate of complication than cyclocryotherapy. |
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| Key words: |
cyclodestructive procedures, cyclophotocoagulation,
cyclocryotherapy. |
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