НАРУШЕНИЯ ОФТАЛЬМОТОНУСА ПРИ ОТЕЧНОЙ ФОРМЕ ЭНДОКРИННОЙ ОФТАЛЬМОПАТИИ

Р. А. Закирходжаев, Р. Ш. Махмудов

Передовая Офтальмология · 2023-yil

Annotatsiya

Relevance. Endocrine ophthalmopathy (EOP) is a chronic autoimmune eye disease characterized by edema and lymphocytic infiltration of retrobulbar tissue and extraocular muscles with subsequent development of fibrosis. Purpose of the study. To study the prevalence and degree of ophthalmotonus disorders in patients with edematous form of endocrine ophthalmopathy. Methods. The study included 54 patients with endocrine ophthalmopathy. The distribution of patients in the study groups was based on the clinical classification of A. F. Brovkina. According to this classification, 2 study groups were formed: the main group, patients with edematous exophthalmos, n=28 (56 orbits); comparison group, patients with thyrotoxic exophthalmos, n=26 (52 orbits). Ophthalmological examination included visometry, biomicroscopy, direct and indirect ophthalmoscopy, exophthalmometry according to Hertel, tonometry according to Maklakov and tonography according to Nesterov. Results. The study showed that in patients of the main group, the average IOP was 25.1 mm Hg. it was found that the average values of ophthalmotonus in patients with edematous exophthalmos are significantly (p<0.05) higher in comparison with those of patients with thyrotoxic exophthalmos. According to the degree of compensation of edematous exophthalmos in the main group, there were 5 patients (21.4%) with a pathological process in the stage of compensation, 16 patients (57.1%) in the stage of subcompensation and 5 (17.8%) — decompensation. Conclusion. In cases of sub- and decompensation of the pathological process in the edematous form of endocrine ophthalmopathy, there is a symptomatic increase in ophthalmotonus and a violation of hydrodynamics.

Maqola ma’lumotlari
MualliflarР. А. Закирходжаев, Р. Ш. Махмудов
JurnalПередовая Офтальмология
Nashr sanasi2023-05-23
Jild3
Son3
Betlar59-62
Tilru
DOI10.57231/j.ao.2023.3.3.012

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