Lagrange-Pokrovsky Iridosclerectomy

Lagrange-Pokrovsky iridosclerectomy is a surgical procedure used to treat glaucoma. It involves removing the iris (iridiosclerotomy) and sclera (sclerectomy).

This operation was developed by the French ophthalmologist P.F. Lagrange and the Soviet ophthalmologist A.I. Pokrovsky. They described this procedure in 1911 and since then it has been widely used in ophthalmic practice.

The essence of the operation is that the surgeon makes a small incision on the sclera, which allows you to remove part of the iris and sclera. This results in decreased intraocular pressure and a reduced likelihood of developing glaucoma in the future.

Lagrange-Pokrovsky iridosclerotomy is one of the most effective procedures for treating glaucoma, especially in cases where other treatments do not produce the desired results. However, like any other operation, it may have certain risks and complications, so before it is carried out, it is necessary to carefully evaluate the patient and discuss all possible treatment options.

Lagrange-Pokrovsky iridosclerotomy is one of the types of surgical intervention in ophthalmology. Indicated for the treatment of glaucoma, iridocyclitis. The technique was developed by Dr. Legrand (French ophthalmologist), Dr. Pokrovsky (Soviet doctor).

This type of operation is based on the removal of part of the iris along with its anterior or posterior edge without damaging the sclera itself.

Lagrange-Pokrovskaya iridocycloretraction is used for acute iridocyclitis. The operation increases intraocular pressure and reduces the possibility of developing secondary cataracts. It consists of removing a section of the iris along with the ciliary body to the level of the iridocorneal angle. Usually done using a special needle and a nose clip. The surgeon performs a local excision of the corneal cells along with the iris and capsule, followed by dilation of the pupil. A prerequisite for the method is the suppression of lens resorption. An anticholinesterase drug is used for this. With this operation there is no need to remove the lens. The result of such a procedure will be an increase in intraocular pressure and sclerotomy, which will prevent the progression of inflammatory processes in the iris of the eyeball and changes in the structure of the capsular bag.