glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”10.53432/2078-4104-2022-21-1-3-13glaucoma-364Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESИсследование роли хориоидеи и хрусталика в развитии первичного закрытия угла передней камерыStudying the role of the choroid and lens in the development of primary anterior chamber angle closureКурышеваН. И.KuryshevaN. I.

д.м.н., профессор, заведующая кафедрой глазных болезней, руководитель консультативно-диагностического отдела

123098, Москва, ул. Живописная, д. 46, корп. 8123098, Москва, ул. Гамалеи, 15

Doc. Sci. (Med.), Professor, Head of the Academic Department of Ophthalmology, Head of the Consultative and Diagnostic Department

46 Zhivopisnaya St., building 8, Moscow, 12309815 Gamalei St., Moscow, 123098

ШароваГ. А.SharovaG. A.

Шарова Галина Аркадьевна, заведующая диагностическим офтальмологическим отделением, лазерный хирург

105118, Москва, пр. Буденного, 26, корп. 2

Head of the Diagnostic Ophthalmology Department, laser surgeon

26/2 Budenny Ave., Moscow, 105118

galina.shar@mail.ruБеликоваЕ. И.BelikovaE. I.

д.м.н., доцент, профессор кафедры офтальмологии, заместитель генерального директора по науке

125371, Москва, Волоколамское ш., 91105118, Москва, пр. Буденного, 26, корп. 2

Doc. Sci. (Med.), Associate Professor, Professor at the Academic Department of Ophthalmology, Deputy Director General for Science

91 Volokolamsk Highway, Moscow, 12537126/2 Budenny Ave., Moscow, 105118

Медико-биологический университет инноваций и непрерывного образования ФГБУ ГНЦ РФ «Федеральный биофизический центр им. А.И. Бурназяна» ФМБА России; Центр офтальмологии ФМБА России, ФГБУ ГНЦ РФ «ФМБЦ им. А.И. Бурназяна» ФМБАРоссияMedical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan; Ophthalmological Center of the Federal Medical-Biological Agency, Federal Medical Biophysical Center named after A.I. BurnazyanRussian FederationООО «Глазная клиника доктора Беликовой»РоссияEye Clinic of Doctor Belikova LLCRussian FederationАкадемия постдипломного образования ФГБУ ФНКЦ ФМБА России; ООО «Глазная клиника доктора Беликовой»РоссияInstitute for Advanced Studies of the Federal Medical-Biological Agency; Eye Clinic of Doctor Belikova LLCRussian Federation202214032022211313Copyright © Курышева Н.И., Шарова Г.А., Беликова Е.И., 20222022Курышева Н.И., Шарова Г.А., Беликова Е.И.Kurysheva N.I., Sharova G.A., Belikova E.I.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/364ЦЕЛЬ

ЦЕЛЬ. Изучить роль хориоидеи и хрусталика в развитии первичного закрытия угла передней камеры.

МАТЕРИАЛ И МЕТОДЫ

МАТЕРИАЛ И МЕТОДЫ. Исследование включало 90 пациентов (30 с первичным закрытием угла [ПЗУ], 30 – с подозрением на первичное закрытие угла [ППЗУ], 30 – контроль) в возрасте от 47 до 80 лет, которым проведена оптическая когерентная томография Swept Source (SS-OCT; optical coherence tomography). Анализируемые параметры: толщина субфовеолярной хориоидеи (ТХф), внутриглазное давление (ВГД), передне-задняя ось (ПЗО), глубина передней камеры (ГПК), высота свода хрусталика (LV, lens vault), кривизна радужки (ICurv) и ее толщина (IT750; iris thickness), дистанция открытия угла (AOD500, AOD750; angle opening distance), иридотрабекулярное пространство (TISA500, TISA750; trabecular-iris space area).

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. ТХф при ПЗУ (341±59 мкм) и ППЗУ (340±51 мкм) была выше, чем в контроле (257,0±37,0 мкм, p<0,05). При ПЗУ и ППЗУ выявлены корреляции ТХф с возрастом, AL, LV, ICurv, IT750 (все p<0,05), а также установлены корреляции LV с возрастом, ВГД, ACD, ICurv, IT750, AOD500, AOD750, TISA500, TISA750 (все p<0,05). Только при ПЗУ отмечалась корреляция ТХф с ВГД (p=-0,476; p=0,008).

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Увеличение ТХф по сравнению с контролем как при ППЗУ, так и при ПЗУ, а также корреляции ТХф с LV и параметрами радужки предполагают участие хориоидеи в патогенезе заболевания первичного закрытия угла (ЗПЗУ). Корреляции LV с ВГД, параметрами передней камеры и радужки свидетельствуют о доминирующей роли хрусталика в формировании ЗПЗУ и необходимости ранней его замены.

PURPOSE

PURPOSE. To study the role of the choroid and lens in the development of primary anterior chamber angle closure.

MATERIAL AND METHODS

MATERIAL AND METHODS. The study included 90 patients aged 47 to 80 years (30 with primary angle closure (PAC), 30 with suspected primary angle closure (PACs), and 30 in the control group) who underwent swept source optical coherence tomography (SS-OCT). The following parameters were analyzed: subfoveolar choroidal thickness (SFCT), intraocular pressure (IOP), axial length (AL), anterior chamber depth (ACD), lens vault (LV), iris curvature (ICurv) and iris thickness (IT750), angle opening distance (AOD500, AOD750), and trabecular-iris space area (TISA500, TISA750).

RESULTS

RESULTS. SFCT in PAC (341±59 µm) and PACs (340±51 µm) was higher than in the control group (257.0±37.0 µm, p<0.05). In PAC and PACs, the correlations of SFCT with age, AL, LV, ICurv, IT750 were revealed (p<0.05 for each), as well as correlations of LV with age, IOP, ACD, ICurv, IT750, AOD500, AOD750, TISA500, TISA750 were found (p<0.05 for each). The correlation of SFCT with IOP was determined only in PAC (p=-0.476; p=0.008).

CONCLUSION

CONCLUSION. The increase in the choroidal thickness in macula in both PACs and PAC compared with the controls, as well as the correlations of subfoveolar choroidal thickness with lens vault and iris parameters suggest the involvement of the choroid in the pathogenesis of primary angle closure disease (PACD). The correlations of lens vault with IOP, as well as the parameters of anterior chamber and iris indicate the prevailing role of the lens in the development of PACD and the need for its early replacement.

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