Introducere. Glaucomul primar cu unghi deschis(GPUD) este o boala cronică, lent progresivă, bilaterală, caracterizată prin creşterea presiunii intraoculare (PIO) cu afectarea fibrelor nervoase ale retinei şi nervului optic,cu dereglarea funcţiei vizuale. Scopul lucrării. Studierea particularităţilor de tratament chirurgical la pacienţii cu GPUD. Material şi metode. Studiu retrospectiv integral al unui lot de 149 de pacienţi, internaţi şi în IMSP SCR Chişinău, secția oftalmologie, pe perioada anului 2009. Pacienților li s-a măsurat PIO preoperator cît și postoperator. Rezultate. Conformcriteriilor au fost selectați 149 de pacienţi, din ei – 140 tratament chirurgical, 9 – tratament medicamentos. După tipul intervențiilor pacienții au fost divizați în 3 loturi: trabeculectomie – 50,7%, sclerectomie profundă – 36,7 %, alte tipuri de intervenţii la – 12,6 %. După PIO preoperator pacienții s-au inpărțit în: PIO< 27mmHg – 13,5%, PIO= 27-32mmHg – 21,4%, PIO> 32mmHg – 65,1%. Succesul terapeutic s-a stabilit în funcţie de nivelul PIO: 1) PIO compensată: PIO< 27 mmHg – 86,5%; 2) PIO decompesat: PIO≥ 27 mmHg – 13,5%. Concluzii. (1) Cel mai des a fost efectuată trabeculectomia (50,7%), urmată de sclerectomia profundă (36,4%). (2) PIO postoperator s-a micşorat cu 42,9% în aplicarea sclerectomiei profunde, 39,2% în aplicarea trabeculectomiei, şi cu 41,6% în caz de aplicare a altor metode chirurgicale. (3) Succesul tratamentului cu o compensare totală a PIO constituie 86,5%, iar succesul tratamentului cu o compensare incompletă a PIO constituie 13,5%.

Introduction. Primary open-angle glaucoma is a chronic slowly progressing, bilateral and asymmetric disease characterized by increasing IOP, affecting nerve fibers of the retina and optic nerve and impaired central and peripheral vision. Objective of the study.To study the peculiarities of surgical treatment in patients with POAG. Material and methods. A full descriptive study was accomplished on a lot of 149 patients, hospitalized and treated in Chişinău Republican Clinical Hospital during 2009. Results. Of the 149 patients diagnosed with POAG, 9 patients were managed with medication, and 140 patients underwent surgical treatment. In all patients who have undergone surgical intervention, IOP was measured preoperatively as well as postoperatively. The following IOP values were recorded: IOP< 27mmHg in 19 patients, IOP= 27-32mmHg in 30 patients, IOP> 32mmHg in 91 patients. These patients underwent surgical treatment: trabeculectomy (71 patients) – 50.71%, and deep sclerectomy (51 patients) – 36.42%, and other types of interventions (18 patients) – 12.37%. Following the treatment, therapeutic success was determined based on the level of IOP: 1) full IOP compensation: IOP< 27mmHg – 129 patients (86.57%); 2) partial IOP compensation: IOP≥27mmHg, 20 patients (13.43%). Conclusions. (1) Trabeculectomy was the most frequently performed procedure – 50.71%, followed by profound slerectomy – 36.42%. (2) IOP decreased post-surgery by 42.9% in profound sclerectomy, by 39.15% in trabeculectomy and 41.62% by performing other surgical methods. (3) The efficacy of the treatment constitutes 6.57% with full IOP compensation, and partial IOP compensation constitutes 13.43%.