glaucomaНациональный журнал ГлаукомаNational Journal glaucoma2078-41042311-6862Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”glaucoma-9Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEW OF LITERATUREХориоидея при глаукомеThe choroid and glaucomaКурышеваНаталия ИвановнаKuryshevaN. I.e-natalia@list.ruАрджевнишвилиТ. Д.ArdzhevnishviliT. D.noemail@neicon.ruФоминА. В.FominA. V.noemail@neicon.ruЦентр офтальмологии ФМБА России, Клиническая больница № 86РоссияThe Ophthalmological Center of the Federal Medical and Biological Agency, Clinical Hospital No. 86Russian FederationЗАО «Трейдомед Инвест»; НИИ ГБ РАМНРоссияTradomed InvestRussian Federation2014170120171316067Copyright © Курышева Н.И., Арджевнишвили Т.Д., Фомин А.В., 20172017Курышева Н.И., Арджевнишвили Т.Д., Фомин А.В.Kurysheva N.I., Ardzhevnishvili T.D., Fomin A.V.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/9

Кровоснабжение зрительного нерва, особенно его преламинарной зоны, как полагают, имеет значение в патогенезе глаукомы. Поскольку преламинарная зона зрительного нерва получает кровоснабжение из перипапиллярной хориоидеи, то можно предположить, что хориоидея играет существенную роль в развитии глаукомы. Однако предыдущие исследования, включая гистологию, ангиографию и допплерографию хориоидеи, не дали полной информации по этому вопросу. Метод спектральной оптической когерентной томографии позволяет более точно исследовать хориоидею и получать воспроизводимые результаты. Это открывает новые возможности в регистрации тех изменений хориоидеи, которые связаны с развитием глаукомы. К настоящему времени опубликованы результаты нескольких исследований по определению толщины хориоидеи в макулярной и пери-папиллярной зонах при глаукоме указанным методом. Однако их результаты неоднозначны. В настоящем обзоре рассмотрены связь между толщиной хориоидеи и перфузионным давлением глаза, а также роль хориоидеи в развитии первичной закрытоугольной глаукомы.

The pathogenesis of glaucomatous optic neuropathy has been linked to the blood supply of the optic nerve, specifically within the prelaminar part of the optic nerve head. As the blood supply of this region comes from the peripapillary choroid, the choroid has been implicated in the pathogenesis of glaucoma. However, the relationship between choroidal blood flow and glaucoma has not been yet definitively established by means of histologic examination, angiography and Doppler sonography. The development of an enhanced imaging technique for spectral domain optical coherence tomography (SD-OCT) has allowed for reproducible measurements of choroidal thickness and measurements of choroidal thickness that are more accurate than previously possible. Therefore, the SD-OCT may be capable of documenting those particular changes in the choroid that relate to glaucoma. Several reports have been published about choroidal thickness within the macula and peripapillary area in glaucoma patients. However, the results of these studies are controversial. The relationship between choroidal thickness and ocular perfusion pressure as well as the role of the choroid in primary angle-closure glaucoma development are also discussed in this review.

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