References

glaucoma

Национальный журнал Глаукома

National Journal glaucoma

2078-41042311-6862

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

glaucoma-98

Research Article

ОБЗОР ЛИТЕРАТУРЫ

REVIEW OF LITERATURE

Оптическая когерентная томография в диагностике глаукомной оптиконейропатии. Часть 1

Optical coherence tomography in glaucoma optic neuropathy diagnostics. Part 1

Курышева

Н. И.

Kurysheva

N. I.

noemail@neicon.ru

Паршунина

О. А.

Parshunina

O. A.

doktor.parshunina@ya.ru

Центр офтальмологии ФМБА России; Клиническая больница № 86РоссияOphthalmological Center of the Federal Medical and Biological Agency; Clinical Hospital No. 86Russian Federation

2016

17012017

1518696

2017

Курышева Н.И., Паршунина О.А.

Kurysheva N.I., Parshunina O.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/98

Спектральная ОКТ (SD-OCT) - наиболее перспективный метод как в раннем выявлении глаукомы, когда «золотой стандарт» - компьютерная периметрия - еще не информативна, так и для наблюдения больных в динамике. За последние годы накопились данные о том, что наряду с исследованием толщины слоя нервных волокон сетчатки (RNFL) важную диагностическую ценность имеет исследование ее внутренних слоев в макулярной области. По последним данным, толщина комплекса ганглиозных клеток сетчатки (GCC) не уступает по информативности показателям, полученным при сканировании диска зрительного нерва (ДЗН). Также появились новые параметры, такие как объем глобальных (GLV) и фокальных (FLV) потерь GCC. Среди наиболее актуальных параметров ДЗН на сегодня считают его минимальную ширину (The mean minimum rim width, MRW) и минимальную площадь (minimum rim area, MRА). Исследование толщины решетчатой мембраны склеры и хориоидеи - наименее изученные аспекты диагностики глаукомы - также рассмотрены в данном обзоре. В его заключительной части приводятся данные о новейших технологиях на базе ОКТ, которые представляют большой интерес для будущих исследований, но пока не нашли клинического применения.

Spectral domain OCT (SD-OCT) is the most promising approach in the early glaucoma detection (especially in pre-perimetric stage of the disease), and in the monitoring of glaucoma patients. In recent years, evidence has accumulated that both the thickness of the retinal nerve fiber layer (RNFL) and internal macular layers have important diagnostic value. According to the latest data, thickness of the retinal ganglion cells complex (GCC) is also as informative as the optic nerve head (ONH) parameters produced by SD-OCT. The new options, such as a global (GLV) and focal loss volume (FLV) of ganglion cells complex, are important as well. Today, a minimum rim width (MRW) and a minimum rim area (MRA) are considered among the most relevant parameters of the ONH. This review also presents study of the thickness of lamina cribrosa and choroid - the least studied aspect of glaucoma diagnostics. It also discusses the new developments in optical coherence tomography, which are of great interest for future research, but have not yet been introduced in clinical use.

первичная открытоугольная глаукомаGCCспектральная оптическая когерентная томографияRNFLтолщина хориоидеирешетчатая мембранаprimary open-angle glaucomaGCCSD-OCTchoroidal thicknessRNFLlamina cribrosa

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