СИНДРОМ РАСШИРЕННОЙ ЭКСКАВАЦИИ ДИСКА ЗРИТЕЛЬНОГО НЕРВА — АНОМАЛИЯ РАЗВИТИЯ ПЕРЕДНЕГО ОТРЕЗКА ЗРИТЕЛЬНОГО ПУТИ

Ю. А. Хамроева, Бобоха Л. Ю., Д. Т. Махмудова

Передовая Офтальмология · 2024-yil

Annotatsiya

Relevance. Extended excavation syndrome (ECS) is a congenital polyetiological non-progressive uni- or bilateral optic nerve anomaly, characterized by a significant increase in the diameter of the optic disc excavation. Purpose of the study. Present the results of differential diagnosis of extended excavation syndrome and congenital glaucoma. Materials and methods. Clinical studies were conducted in the ophthalmology department of the clinic of the Tashkent Pediatric Medical Institute (TashPMI). Group I — 4 patients (8 eyes) — children with CRE, Group II — 5 patients (10 eyes) with a diagnosis of “Congenital glaucoma” (CG). All patients underwent ophthalmological and clinical-instrumental examinations. Results and conclusion. In patients of group I, visual acuity without correction averaged 0.6±0.1, with correction 0.95±0.1. Myopic refraction was detected in all patients (100% of cases), on average it was 2.25±0.4 diopters, eye POV was 22.7±0.77 mm. With gonioscopy, in 100% of cases, the UPC is of medium width, all identifying elements are visible. The excavation-to-disc ratio (E/D) averaged 0.55±0.2. Central corneal thickness (CCT) is 593.92±14.2 μm. IOP Pt averaged 19.4±0.6 mmHg. In group II, visual acuity was 0.3±0.1 with correction 0.45±0.1. Myopic refraction (100%) — 6.8±0.5 diopters, visual field of vision of the eye — 24.9±0.16 mm. Gonioscopy revealed grade II goniodysgenesis. E/D — 0.7±0.1, CTR‑589.5±10 μm, IOP 26.7±0.3 mmHg. E/D — 0.99±0.06. ERG in children in group I is normal, in group II it is subnormal. During VEP, the response to the flash amplitude-velocity parameters along the visual pathways were within normal limits, a slight deformation of the peak was observed in 65% of cases in patients of group I, in 94% of cases in patients of group II. Thus, in patients with SRE, according to the examination, the indicators of IOP, tonography, gonioscopy, keratopachymetry, ERG and VEP are within normal limits.

Maqola ma’lumotlari
MualliflarЮ. А. Хамроева, Бобоха Л. Ю., Д. Т. Махмудова
JurnalПередовая Офтальмология
Nashr sanasi2024-06-08
Jild8
Son2
Betlar112-115
Tilru
DOI10.57231/j.ao.2024.8.2.022

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