Особливості гідродинаміки ока в залежності від функціонального стану шлемова каналу та клінічного типу первинної відкритокутової глаукоми

Abstract

Мета роботи. Вивчити особливості показників гідродинаміки ока в залежності від клінічного типу первинної відкритокутової глаукоми та функціонального стану шлемова каналу (ШК). Understanding the correlation between ocular hydrodynamics and hemodynamics plays a key role in the treatment and monitoring of primary open-angle glaucoma. Peculiarities of hydrodynamics of the eye depending on the clinical type of primary open-angle glaucoma and the functional state of the Schlemm’ s canal were investigated. 40 patients (60 eyes) with primary open-angle glaucoma were examined. The clinical type of primary open-angle glaucoma was determined using dopplerography of the eye arteries. The functional state of the Schlemm’ s canal was assessed by tonography before and after unloading with glyceroascorbate. Hydrodynamic indicators of the eye differed depending on the clinical type of primary open-angle glaucoma. Against the background of approximately the same intraocular pressure, indicators of the ease of outflow had significant differences between the two groups. Functional and organic blocks of the Schlemm’ s canal were detected with the same frequency in both groups. The presence of a functional block of the Schlemm’s canal may indicate the effectiveness of conservative or laser therapy, while an organic block of the Schlemm’ s canal may require surgical intervention.