РОЛЬ МЕСТНЫХ И ОБЩЕСОМАТИЧЕСКИХ ФАКТОРОВ В РАЗВИТИИ ОТКРЫТОУГОЛЬНОЙ ГЛАУКОМЫ У ПАЦИЕНТОВ С ГЛАЗНЫМИ ПРОЯВЛЕНИЯМИ ПСЕВДОЭКСФОЛИАТИВНОГО СИНДРОМА

[摘要] Pseudoexfoliation syndrome (PES) is one of the best known triggers of glaucoma. The development of the open-angle glaucoma only in some patients with the PES with definite local and general risk factors requires a further research.Purpose. The detection of the risk factors of primary open-angle glaucoma development in patients with the PES. Material and methods. There were examined 185 patients aged 48-87 years with primary open-angle glaucoma and 75 patients of the control group. In all patients a complex eye examination was performed in addition to questionnaire and the anamnesis review. Results. In the experimental and the control groups of patients the values of the following eye parameters were assessed: length of the eye, thickness of the lens, depth of the anterior chamber, degree of PES manifestations, nucleus density, pigmentation of the anterior chamber angle and also the presence of the concomitant vascular pathology was detected. Using the method of regression analysis a statistically significant correlation (p<0.05) was found between the open-angle glaucoma development in patients with PES and the further parameters: age, thickness of the lens, degree of PES manifestations, the presence of arterial hypertension, ischemic heart disease, chronic cerebral vascular ischemia, atherosclerosis. A mathematic formula was calculated to predict an open-angle glaucoma development in patients with PES. Conclusions. The risk factors of the open-angle glaucoma development in patients with PES were detected the following: the degree of PES manifestations, thickness of the lens, the age of patients, the presence of arterial hypertension, ischemic heart disease, chronic cerebral vascular ischemia, atherosclerosis.><0,05) was found between the open-angle glaucoma development in patients with PES and the further parameters: age, thickness of the lens, degree of PES manifestations, the presence of arterial hypertension, ischemic heart disease, chronic cerebral vascular ischemia, atherosclerosis. A mathematic formula was calculated to predict an open-angle glaucoma development in patients with PES.Conclusions. The risk factors of the open-angle glaucoma development in patients with PES were detected the following: the degree of PES manifestations, thickness of the lens, the age of patients, the presence of arterial hypertension, ischemic heart disease, chronic cerebral vascular ischemia, atherosclerosis.

[学科分类] 眼科学

[关键词] pseudoexfoliation syndrome;primary open-angle glaucoma;cardio-vascular disease;risk factors;псевдоэксфолиативный синдром;пер-вичная открытоугольная глаукома;сердечно-сосудистые за- болевания;факторы риска