Ранняя диагностика глаукомы с низким офтальмотонусом в условиях самаркандской области

Аннотация

In some cases it is difficult to make a diagnosis of low pressure glaucoma. 79 patients had low pressure glaucoma. 64 (81%) patients made up 80/60-100/60 mm Hg, but in 15 (19%) it was 100-130/85-90 mm Hg and if taking into consideration their age they were refered to hypotonics too. A careful clinical ophthalmologic examination was performed to all patients. Analysis of intraocular pressure revealed in 52 (65,7%) patients ophthalmotonus being at 16-19 mm Hg, in 27 (34,3%) ranging 20-22 mm Hg. At an early stage of the process there had been noted single absolute scotomas in central vision which may be increased if intraocular pressure is high. There was marked an early appearance of some changes in the optic nerve, to be specific and to be an evident informative sings in diagnosis of low pressure glaucoma. A direct correlation between the state of peripheric vision and the changes in the optic disc has been established. In therapy of patients with local hypotensive drugs it is advisable to prescribe medicine for increasing arterial pressure, improving microcirculation and angioprotectors. Indication to surgical procedure is recommended in case of progressing disturbance of visual function