References

glaucoma

Национальный журнал Глаукома

National Journal glaucoma

2078-41042311-6862

Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”

10.25700/NJG.2018.03.09

glaucoma-223

Research Article

ОБЗОР ЛИТЕРАТУРЫ

REVIEW OF LITERATURE

Суточный мониторинг внутриглазного давления: возможности и перспективы

24-hour intraocular pressure monitoring: opportunities and challenges

Брежнев

А. Ю.

Brezhnev

A. Y.

к.м.н., доцент кафедры офтальмологии.

305041, Российская Федерация, Курск, ул. К. Маркса, д. 3.

Ph.D., Associate Professor, Ophthalmology Department.

3 Karl Marx st., Kursk, Russian Federation, 305041.

drbrezhnev@hotmail.com

Баранов

В. И.

Baranov

V. I.

д.м.н., профессор, заведующий кафедрой офтальмологии.

305041, Российская Федерация, Курск, ул. К. Маркса, д. 3.

Med.Sc.D., Professor, Head of the Ophthalmology Department.

3 Karl Marx st., Kursk, Russian Federation, 305041.

Куроедов

А. В.

Kuroyedov

A. V.

д.м.н., профессор, начальник отделения.

107014 г. Москва, Б. Оленья ул., владение 8 А.

117997, Российская Федерация, Москва, ул. Островитянова, 1.

Med.Sc.D., Professor, Head of the Ophthalmology Department.

8A Bolshaya Olenya st., Moscow, Russian Federation, 107014.

1 Ostrovityanova st., Moscow, Russian Federation, 117997.

Петров

С. Ю.

Petrov

S. Yu.

к.м.н., ведущий научный сотрудник отдела глаукомы.

119021, Российская Федерация, Москва, Россолимо, 11A, Б.

Ph.D., Leading research associate.

11a Rossolimo st., Moscow, Russian Federation, 119021.

Антонов

А. А.

Antonov

A. A.

к.м.н., ведущий научный сотрудник отдела глаукомы.

119021, Российская Федерация, Москва, Россолимо, 11A, Б.

Ph.D., Leading research associate.

11a Rossolimo st., Moscow, Russian Federation, 119021.

ФГБОУ ВО «Курский государственный медицинский университет» Минздрава России.РоссияKursk State Medical University.Russian Federation

ФКГУ «ЦВКГ им. П.В. Мандрыка» МО РФ; Кафедра офтальмологии лечебного факультета им. акад. А.П. Нестерова ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» МЗ РФ.РоссияMandryka Military Clinical Hospital; Pirogov State National Medical University, Ophthalmology Department.Russian Federation

ФГБНУ «Научно-исследовательский институт глазных болезней».РоссияGlaucoma Department of the Scientific Research Institute of Eye Diseases.Russian Federation

2018

30122018

1737785

2018

Брежнев А.Ю., Баранов В.И., Куроедов А.В., Петров С.Ю., Антонов А.А.

Brezhnev A.Y., Baranov V.I., Kuroyedov A.V., Petrov S.Y., Antonov A.A.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.glaucomajournal.ru/jour/article/view/223

В данном обзоре обобщается концепция и важность круглосуточного 24-часового мониторинга внутриглазного давления (ВГД) и его взаимосвязь с тактикой лечения глаукомы.

ВГД у здоровых лиц и глаукомных пациентов оценивают, как правило, по результатам одно-двукратных тонометрий, выполненных в дневное рабочее время, в то время как офтальмотонус может существенно изменяться в течение суток. Во многих случаях пиковые значения ВГД регистрируются во «внеофисное» время.

В нескольких исследованиях была отмечена связь между колебаниями ВГД и прогрессированием периметрических изменений при первичной открытоугольной глаукоме, но эти результаты носят дискутабельный характер.

В статье обсуждаются современные и перспективные технологии для суточного мониторинга ВГД, представлены данные о 24-часовой эффективности медицинских, лазерных и хирургических стратегий лечения глаукомы. Контролируемые клинические исследования значительно улучшили наше понимание 24-часовой эффективности различных вариантов терапии глаукомы и показали некоторые различия в существующих схемах. Для более корректной оценки эффективности лечения глаукомы и влияния различных характеристик ВГД на прогрессирование глаукоматозного процесса и функциональный прогноз необходимы более долгосрочные проспективные исследования.

This review summarizes the concept and value of diurnal and 24-h intraocular pressure (IOP) monitoring and its role in the management of glaucoma. The IOP in healthy persons and glaucoma patients is generally evaluated in single/double IOP measurement during clinic hours, although IOP varies over the course of 24 hours. However, in many cases, the IOP peaks outside clinic hours. Several studies documented the association between IOP peaks and visual field decline in primary open angle glaucoma patients, but the role of IOP fluctuations is still debated.

Current and future technologies for measuring IOP over a 24-h period are discussed and available evidence on the 24-h efficacy of medical, laser and surgical strategies for glaucoma treatment is evaluated. Several controlled trials have significantly enhanced our understanding of the 24-h efficacy of various glaucoma therapy options and have shown that glaucoma therapies differ in their ability to lower IOP throughout the 24-h cycle.

More long-term evidence is needed to better evaluate the 24-h efficacy of glaucoma therapy and the influence of IOP parameters on glaucoma progression and visual prognosis.

внутриглазное давление24-часовой мониторингсуточные колебания внутриглазного давленияглаукома

intraocular pressure24-hour monitoringdiurnal intraocular pressure fluctuationglaucoma

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The authors declare that there are no conflicts of interest present.