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Национальный журнал глаукома

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Оптическая когерентная томография в диагностике глаукомной оптиконейропатии. Часть 1

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Аннотация

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.

Об авторах

Н. И. Курышева
Центр офтальмологии ФМБА России; Клиническая больница № 86
Россия


О. А. Паршунина
Центр офтальмологии ФМБА России; Клиническая больница № 86
Россия


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Для цитирования:


Курышева Н.И., Паршунина О.А. Оптическая когерентная томография в диагностике глаукомной оптиконейропатии. Часть 1. Национальный журнал глаукома. 2016;15(1):86-96.

For citation:


Kurysheva N.I., Parshunina O.A. Optical coherence tomography in glaucoma optic neuropathy diagnostics. Part 1. National Journal glaucoma. 2016;15(1):86-96. (In Russ.)

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