ПРИНЦИПЫ РАННЕЙ ДИАГНОСТИКИ ИЗМЕНЕНИЙ ЗРИТЕЛЬНЫХ ФУНКЦИЙ У БОЛЬНЫХ С ВЕРТЕБРО-БАЗИЛАРНОЙ НЕДОСТАТОЧНОСТЬЮ

Н. Н. Хасанов, Р. А. Закирходжаев, Э. Н. Билалов, И. Р. Асрорхужаева

Передовая Офтальмология · 2023-yil

Annotatsiya

Relevance. Circulatory deficiency in the vertebrobasilar system is dangerous because it causes hypoperfusion and hypoxia of the eye tissues. Despite the fact that changes in the eye caused by vertebrobasilar insufficiency have been called different medical terms over the past 10 years, this disease is a group of pathologies that have not lost their relevance so far. Purpose of the study. Early detection of signs of changes in the eye caused by vertebrobasilar insufficiency and study of the features of their clinical course. Materials and methods. In 20 patients of the first group, who are hospitalize at the Central City Hospital of the Ministry of Internal Affairs of the Republic of Uzbekistan, operations were performed to eliminate the VBT of circulatory insufficiency (ChT‑10; G45.0), in 20 patients of the second group, they were treated conservatively and the results of the analysis of neuroimaging and neurophysiological research methods were compared Results. Recovery of visual acuity in the first group was 1.3 times higher than in the second group. These results were explaine by the rapid recovery of hemodynamics, which was also reflected in the results of a computerized perimetric study. In the second group, the average values of the TNVS thickness decreased compared to the first group in the upper quadrant (169.5±14.8 μm), in the temporal (105.4±7.8 μm), in the lower (191.4±15.0 μm) and in nasal (90.15±6.47 μm) quadrants. A statistically significant difference was found in the thickness of the TNVS of the upper (p<0.05), temporal (p<0.05), and lower (p<0.05) quadrants compared to the first group. Conclusion. Detection of perimetric scotomas that are not part of the defects detected by TNVS OCT indicates the presence of a pathology of the internal carotid artery in the chiasm, optic tract, or postgenicular optic tract. In such cases, it is advisable to prescribe MRI to patients, and in cases of no changes on MRI, functional X-ray studies.

Maqola ma’lumotlari
MualliflarН. Н. Хасанов, Р. А. Закирходжаев, Э. Н. Билалов, И. Р. Асрорхужаева
JurnalПередовая Офтальмология
Nashr sanasi2023-05-23
Jild3
Son3
Betlar159-163
Tilru
DOI10.57231/j.ao.2023.3.3.036

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