Toward more
efficient treatment of severe forms of glaucoma
Sanjar Anvarov, UT
The number of people loosing their sight will decrease: a group of
doctors from the Republican Specialized Center of Eye Microsurgery proposed a
new method of surgical treatment of secondary neovascular glaucoma that was
researched under the guidance of the Doctor of Medical Sciences, Professor
Muyassar Karimova.
- Glaucoma is the increased
intraocular pressure, but what does this term mean when combined with the word neovascular’?
- This group includes the glaucoma that developed for the second time
due to endocrine and cardiovascular diseases. Most often this occurs as a
result of complications of diabetes: diabetic retinopathy and retinal vascular
occlusive lesions on the background of atherosclerosis and hypertension. As a
result of the fact that in The neogenic vessels that appear in the iris and in
the corner of anterior chamber and prevent the outflow of intraocular fluid,
cause the rise of eye pressure, the patients complain of severe pain and
rapidly progressive decrease of vision.
- Doctor, what was the motivation
to start developing a new technology of surgical treatment of this disease?
- In fact, the widely used
medicamental and traditional surgical methods of treatment proved ineffective.
In any case, the state of patients is worsening daily. Quite often an operation
to remove the eyeball was the only way to alleviate their suffering.
Meanwhile, the situation has got to change in recent years. The science
proposed new methods of treatment using all kinds of drainage systems. They yield
good results. However, there are technical difficulties in implementing them, there
is a possibility of postoperative complications. Their high cost is a significant
drawback. Our method of deep sclerectomy with implantation of xenocollagen drainage
in patients with neovascular glaucoma has become the solution. It was developed
by me in collaboration with Zafar Sidikov, Tatiana Savranova and Vahid
Rozukulov.
- Can we now say that
there is a domestic method of saving the patient from blindness resulted from
neovascular glaucoma?
- Such explicit statements are not appropriate in medicine. I can only ascertain
that the results of using our technology in the hospital of the Republican
Specialized Center of Eye Microsurgery have shown that this method allows achieving
stable and good results in decreasing intraocular pressure and preserving
visual function. The outcomes we have obtained are enough to distribute thin
know-how in other eye clinics of the country.
- Tell about the
technology you proposed, please.
- This is an innovative approach to the development of new ways of
outflow of intraocular fluid that prevent scarring of filtration area, and
implantation of special xenocollagen drainage. The method was patented last
year.
- Who developed the
material used for drainage?
- We use the xenocollagen drainage that was designed and manufactured by
the Moscow Eye Center Vostok-Prozrenie. We chose this material because it is
not toxic and does not cause an inflammatory reaction of surrounding tissues,
and it is capable to remain its structure under the influence of natural
biological processes in the body.
- When will your
technology be applied in other clinics in the country?
- The method is moving further to the regions. Our technology has been already
developed by our colleagues in Khorazm branch. Demonstrative operations and
training seminars were held in Namangan,
Andijon and Bukhoro. I think we will soon organize them in other parts of the
country.
ut file
MD, Professor Muyassar Karimova graduated from
Tashkent Medical Institute in 1988. She defended her PhD thesis in 1998, and doctoral
thesis - in 2004. Medical activities are combined with scientific, educational,
and administrative work. She is the Deputy Director on Research at the
Republican Specialized Center of Eye Microsurgery and Professor at
Ophthalmology Department of Tashkent Medical Academy.