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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">helmholtzeyeinstitute</journal-id><journal-title-group><journal-title xml:lang="ru">Российский офтальмологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Ophthalmological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0076</issn><issn pub-type="epub">2587-5760</issn><publisher><publisher-name>Real time Publishers</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21516/2072-0076-2025-18-1-145-149</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-1731</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Избыточное рубцевание в хирургии глаукомы. Часть 2. Факторы риска</article-title><trans-title-group xml:lang="en"><trans-title>Wound healing in glaucoma surgery. Part 2. Risk factors</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4713-5661</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Измайлова</surname><given-names>Н. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Izmailova</surname><given-names>N. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Измайлова Наталья Сергеевна — начальник отдела патологической анатомии и гистологии, ведущий научный сотрудник, врач-патологоанатом.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Natalia S. Izmailova — head of the department of pathological anatomy and histology, leading researcher, pathologist.</p><p>14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6922-0464</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Петров</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Petrov</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Петров Сергей Юрьевич — д-р мед. наук, начальник отдела глаукомы.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Sergey Yu. Petrov — Dr. of Med. Sci., head of glaucoma department.</p><p>14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062</p></bio><email xlink:type="simple">glaucomatosis@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Епхиева</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Epkhieva</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Епхиева Анжела Давидовна — аспирант отдела глаукомы.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Angela D. Epkhieva — PhD student, glaucoma department.</p><p>14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>03</month><year>2025</year></pub-date><volume>18</volume><issue>1</issue><fpage>145</fpage><lpage>149</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Измайлова Н.С., Петров С.Ю., Епхиева А.Д., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Измайлова Н.С., Петров С.Ю., Епхиева А.Д.</copyright-holder><copyright-holder xml:lang="en">Izmailova N.S., Petrov S.Y., Epkhieva A.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://roj.igb.ru/jour/article/view/1731">https://roj.igb.ru/jour/article/view/1731</self-uri><abstract><p>Хирургическое лечение глаукомы является распространенным методом нормализации офтальмотонуса при отсутствии достаточной эффективности других методов лечения. Однако проведение гипотензивного вмешательства не гарантирует достижения стойкого гипотензивного эффекта, что обусловлено процессами избыточного рубцевания с затруднением оттока внутриглазной жидкости в зоне антиглаукомной операции. При выборе тактики хирургического лечения и методов послеоперационного ведения следует учитывать факторы риска развития избыточного рубцевания. Среди них выделяют молодой возраст пациентов, расовую принадлежность, высокое исходное внутриглазное давление, длительное применение местной гипотензивной терапии, наличие воспалительной патологии, предшествующего гипотензивного вмешательства и/или интраокулярной хирургии, неоваскулярной глаукомы, сахарного диабета.</p></abstract><trans-abstract xml:lang="en"><p>Surgical treatment of glaucoma is a common method of intraocular pressure normalizing when other treatment methods are not effective enough. However, hypotensive intervention does not guarantee a stable hypotensive effect, which is due to the processes of excessive scarring with difficulty in the outflow of intraocular fluid in the area of antiglaucoma surgery. When choosing the tactics of surgical treatment and methods of postoperative management, risk factors for the development of excessive scarring should be taken into account. Among them are the young age of patients, race, high initial intraocular pressure, long-term use of local hypotensive therapy, the presence of inflammatory pathology, previous hypotensive intervention and / or intraocular surgery, neovascular glaucoma, diabetes mellitus.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>глаукома</kwd><kwd>хирургия глаукомы</kwd><kwd>внутриглазное давление</kwd><kwd>избыточное рубцевание</kwd><kwd>факторы риска</kwd></kwd-group><kwd-group xml:lang="en"><kwd>glaucoma</kwd><kwd>glaucoma surgery</kwd><kwd>intraocular pressure</kwd><kwd>bleb scarring</kwd><kwd>risk factors</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Tham YC, Li X, Wong TY, et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. 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