Acoustic changes of sclera in case of primary open-angle glaucoma

Autor: E. V. Egorova, D. G. Uzunyan, A. V. Milingert
Jazyk: ruština
Rok vydání: 2016
Předmět:
Zdroj: Офтальмохирургия, Vol 0, Iss 2, Pp 22-27 (2016)
Druh dokumentu: article
ISSN: 0235-4160
2312-4970
DOI: 10.25276/0235-4160-2016-2-22-27
Popis: Purpose. To study the acoustic density (ADS) and the thickness of the sclera in patients with primary open-angle glaucoma (POAG) taking into account the stage the glaucoma process and refraction.Material and methods. The study involved in 273 eyes of 138 examined patients with the POAG of stage 1-3. The mean age was 66±4, the IOP – 21±4mmHg in the hypotensive mode, the axial length of the eye – 23.56±2.31. The comparative group included 90 eyes of 45 patients aged 65±6.5 years without the diagnosed glaucoma, the IOP was 20±3mmHg. All patients underwent the ultrasound bio-microscopy (UBM). Scanning the thickness of sclera was performed in the limbus area and 4mm from the scleral spur in 4 segments at the 3,6,9,12 o’clock positions. The ADS determination was carried out in dB by a reduction of the power of ultrasound to the disappearance of echoes from scleral capsule of the eye on the scr een.Results. The sclera of the eyes was not uniform in its thickness in different zones of measurement. The maximum thickness of the sclera was detected in the limbus area at the 9 o’clock position in the comparative group and was 0.63±0.02mm; the smallest thickness was detected in patients with myopia at the 12 o’clock position and was 0.51±0.04mm. Thinning of the sclera in the equatorial zone was significantly (p
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