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THE MAINTENANCE

THE LIST OF REDUCTIONS 6

INTRODUCTION 7

Chapter 1. MODERN REPRESENTATIONS About 15

PATHOGENESIS, DIAGNOSTICS AND TREATMENT OF THE MALIGNANT GLAUCOMA

(The literature review)

1.1. Historical aspects 15

1.2.

Epidemiologija a malignant glaucoma 15

1.3. The factors contributing to development 16

Malignant glaucoma

1.4. A pathogenesis of a malignant glaucoma 17

1.4.1. Vitreo-lenticular blocks 20

1.4.2. The lens block 23

1.5. Diagnostics of a malignant glaucoma 24

1.5.1. A clinical picture 24

1.5.2. A role of methods of visualisation in diagnostics 26

Malignant glaucoma

1.6. Principles of treatment of a malignant glaucoma 29

1.6.1. Conservative treatment 30

1.6.2. Surgical treatment 30

1.6.3. Laser surgery 33

1.7. Care of a didymous eye 35

The chapter II. The ORGANIZATION And TECHNIQUES 37

RESEARCHES

2.1. A general characteristic of groups of patients 37

2.2. Techniques of diagnostics and treatment surveyed 38

Patients

2.2.1. Complaints and anamnestic data 38

2.2.2. Standard methods of inspection 39

2.2.3. Special methods of inspection 42

2.3. Techniques of surgical interventions 50

2.3.1. Carrying out vitrektomii with destruction of a lobby 50

Hyaloid membrane

2.3.2. The combined operation fakoemulsifikatsii 51

Cataracts with implantation IOL, reconstruction of the forward chamber and a lobby partial vitrektomiej with destruction of a forward hyaloid membrane

2.3.3. The combined preventive operation 52

fakoemulsifikatsii cataracts, implantation

IOL, a lobby partial vitrektomiej

2.3.4. 52 substantiation of efficiency of the surgical

Treatments

2.4. Techniques of the statistical description of given 53

The chapter III. The SUBSTANTIATION 54

THE COMBINED SURGICAL

TREATMENTS OF THE POSTOPERATIVE MALIGNANT GLAUCOMA

3.1. The analysis of outcomes of surgical treatment of patients with 54

The developed postoperative malignant glaucoma

3.1.1. The analysis of postoperative complications at patients 1 54

Observation groups

3.1.2. The analysis of change of visual acuity in 56

The postoperative period у1 groups of patients

3.1.3. Dynamics change glaukomnogo process in 57

The postoperative period at 1 group of patients

3.1.4. Change of an ophthalmotonus in 58

The postoperative period at 1 group of patients

3.1.5. Change of depth of the forward chamber in 59

The postoperative period at 1 group of patients

3.1.6. Change iridokornealnogo an angle in 59

The postoperative period at 1 group of patients

3.2. Clinical examples of surgical interventions 60

At carrying out vitrektomii and the combined operation at the developed postoperative malignant glaucoma

3.2.1. A surgical intervention at carrying out 60

vitrektomii

3.2.2. A surgical intervention at carrying out 63

The combined operation

3.3. Fakoemulsifikatsija, executed by us during 66

Year at patients 1 "and" groups

3.4. Quantity of operative measures at patients 1 66

Groups

The chapter IV. DEFINITION of PROBABILITY 68

DEVELOPMENTS OF THE POSTOPERATIVE MALIGNANT GLAUCOMA BY THE METHOD

THE DISCRIMINANT ANALYSIS

The chapter V. The SUBSTANTIATION of EFFICIENCY 80

THE COMBINED PREVENTIVE OPERATION POSTOPERATIVE

MALIGNANT GLAUCOMA

5.1. The analysis of outcomes of surgical treatment of patients in 80

The investigated groups

5.1.1. The analysis of postoperative complications at patients in 81

The investigated groups

5.1.2. The analysis of change of visual acuity 83

The postoperative period in the investigated groups

5.1.3. Dynamics change glaukomnogo process in 84

The postoperative period in the postoperative

The period in the investigated groups

5.1.4.

Change

The intraocular

Pressure

5.1.5.

5.1.6.

5.2.

The postoperative period in

Groups

Change of depth of a lobby

The postoperative

The period in

The investigated

Chambers in

The investigated

Groups

Change

Angle

Lobby

Chambers

The postoperative

The period in

The investigated

Groups

Intervention at

Carrying out of the combined

Preventive operation

The chapter VI. DISCUSSION of the RECEIVED

DATA

THE CONCLUSION

CONCLUSIONS

PRACTICAL REFERENCES

THE LITERATURE LIST

85

86

86

87

91

100

102

104

105

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Scientific source Tarasov Konstantin Leonidovich. COMPLEX SURGICAL TREATMENT of the POSTOPERATIVE MALIGNANT GLAUCOMA. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow, 2014. 2014

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