Комплексная визуализация переднего сегмента глаза в диагностике, мониторинге и лечении болезни закрытого угла
Ключевые слова:
первичное закрытие угла, первичная закрытоугольная глаукома, оптическая когерентная томография, ультразвуковая биомикроскопияАннотация
Цель. Обзор литературных данных, посвященных роли визуализации переднего сегмента глаза в диагностике, мониторинге и лечении болезни первичного закрытого угла. Представлен анализ результатов применения современных технических устройств – оптической когерентной томографии переднего отрезка (AS-OST), ультразвуковой биомикроскопии, Шаймпфлюг-камеры, оценка преимуществ и недостатков в сравнении с гониоскопией. Визуализация структур переднего сегмента глаза представляет собой важную часть стратегии, направленной на решение проблемы выявления факторов риска, диагностику, мониторинг и оценку эффективности лечения болезней первичного закрытия угла. Качественный и количественный анализ данных на основе оптической когерентной томографии, ультразвуковой биомикроскопии, данных Шаймпфлюг-камеры подтверждает высокую сопоставимость с гониоскопией, однако каждый из методов дополняет друг друга.
Заключение. Визуализация переднего сегмента глаза является эталоном в современной диагностике и оценке эффективности лечения болезней первичного закрытия угла. Мультимодальная визуализация повышает возможности точной диагностики и правильного выбора тактики лечения.
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