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Национальный журнал Глаукома

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Глаукома у беременных: особенности лечения

https://doi.org/10.53432/2078-4104-2023-22-1-103-114

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Аннотация

В обзоре представлена информация об особенностях, частоте встречаемости, патогенетическом механизме, вариантах консервативного, лазерного и хирургического лечения глаукомы у беременных. Цель работы — изучить на основе актуальной информации особенности ведения пациенток с глаукомой в период беременности. Глаукома — большая группа заболеваний глаза, характеризующаяся прогрессирующим снижением зрения вплоть до потери зрительных функций и атрофии зрительного нерва. Патология наиболее распространена среди населения старше 40 лет, но в связи с достижениями в области репродуктивных технологий, доступностью диагностических методик, высокой клинической осведомленностью увеличивается вероятность ведения офтальмологами глаукомы у беременных женщин. Повышенное внутриглазное давление у беременных становится все более часто встречаемой и, следовательно, актуальной проблемой. Наблюдается тенденция к увеличению числа беременных женщин, впервые столкнувшихся с повышением внутриглазного давления. К особенной категории пациентов относится уже выявленная патология в детском возрасте или же глаукома вторичная вследствие перенесенных ранее офтальмологических заболеваний или тяжелой соматической патологии. Все перечисленные категории встречаются в настоящее время и требуют тщательного мониторинга со стороны как офтальмолога, так и акушера-гинеколога. Доказательная база по антиглаукомным препаратам незначительна, имеются клинические эксперименты на животных, результаты которых не всегда можно переносить на человека, и ретроспективные исследования. В арсенале врача на данный момент имеется ряд препаратов, имеющих возможные побочные действия для плода, лазерное и хирургическое лечение. Стандартов оказания помощи не существует, поэтому каждый случай должен рассматриваться индивидуально с пониманием физиологии, механизма действия препаратов и их возможными эффектами. Таким образом, глаукома во время беременности и в период лактации представляет серьезную медицинскую проблему, решение которой лежит в плоскости междисциплинарной медицины.

Об авторах

Т. Ю. Матненко
ФГБОУ ВО «Омский государственный медицинский университет» Минздрава РФ, кафедра офтальмологии
Россия

К.м.н., доцент кафедры.

644099, Российская Федерация, Омск, ул. Ленина, 12



А. В. Юрлагина
ФГБОУ ВО «Омский государственный медицинский университет» Минздрава РФ, кафедра офтальмологии
Россия

Юрлагина Арина Валерьевна - ординатор 1 года.

644099, Российская Федерация, Омск, ул. Ленина, 12



О. И. Лебедев
ФГБОУ ВО «Омский государственный медицинский университет» Минздрава РФ, кафедра офтальмологии
Россия

Д.м.н., профессор, заведующий кафедрой.

644099, Российская Федерация, Омск, ул. Ленина, 12



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Для цитирования:


Матненко Т.Ю., Юрлагина А.В., Лебедев О.И. Глаукома у беременных: особенности лечения. Национальный журнал Глаукома. 2023;22(1):103-114. https://doi.org/10.53432/2078-4104-2023-22-1-103-114

For citation:


Matnenko T.Yu., Yurlagina A.V., Lebedev O.I. Glaucoma in pregnant women: features of treatment. National Journal glaucoma. 2023;22(1):103-114. (In Russ.) https://doi.org/10.53432/2078-4104-2023-22-1-103-114

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ISSN 2078-4104 (Print)
ISSN 2311-6862 (Online)