Tactics and results of glaucoma surgical treatment at various stages of retinopathy of prematurity

Objective. To develop optimal tactics and analyze results of treatment in patients with glaucoma at various stages of retinopathy of prematurity (ROP). Material and methods. From 2019 to 2023 we examined and performed surgical intervention on 52 children (71 eyes) with glaucoma in eyes with stages III, IVa, IVb and V of ROP. Surgical treatment was performed for аll children. Antiglaucomatous filtering surgery were performed on 30 eyes (42.3%), reconstructive surgery on the anterior segment of the eye and vitreoretinal surgery were performed on 35 eyes (49.3%), combined surgery (antiglaucomatous, reconstructive and vitreoretinal intervention, performed at the same time) on 6 eyes (8.5%). Results. As a result of surgical treatment, we achieved a positive effect in 78.9% of cases (56 eyes): with stage III ROP – in 93.8% (30 eyes), with stage IVa – in 88.9% (8 eyes), with IVb – 66.7% (6 eyes), with V stage – in 57.1% (12 eyes). Conclusions. Children with ROP are advised to undergo surgical treatment in the early stages of glaucoma detection. Key words: retinopathy of prematurity, glaucoma, filtering surgery, reconstructive surgery