Вы находитесь на странице: 1из 7

8/12/12 , . 1.

, 04 (12) . 1

,
,
. ,

: ,
.
Ophthalmoscopic and photographic methods of optic disc analysis

The introduction of scanning laser ophthalmoscopy led to the fact that many authors began to
relate the morphometrical changes of optic disc to the primary manifestation of glaucoma, but the
changes of visual fields to the secondary one. Many glaucoma investigators came to the conclusion
that in early glaucoma a dissociation of structural and functional changes takes place: structural
indications take the lead over functional ones, whereas functional indications define the process of
glaucoma progression better.

, ,
( ,
, , ).
, ,
(
) (
50%), () [1].

80- 20- (
,
, , )
.
, (),
,
, . D.
Montgomery [2], .. [3]

[4],
, .
90- ,

[3, 5].

. ,
. [6-9]. 80- 20-
(SLO),
,
(19891993 .) (1995 .)
, -,
[1].

, :
(SLP), (OCT),
(RTA), GDx VSS .
Heidelberg Retina Tomograph (HRT II) (10).
, ,
.
.
.
, 0,28% () 0,39% (SLO).
F. Mikelberg (1995), c ,
.
.

, : 0,92 5,5
2, 1,2 2,5 , 1,88
1,77 [5]. ,
.
,
. M. Hermann t al., 1764
882 46,8
1,14 2
2,71 2. R. Sampaolesi et.al. ,

,
. , ,
,
, .
, ,
. J. Jonas [5] ,
: 8,0 D
4,0 D. H. Nakamura et al. [11],
.
.


,
(lin cup/disc- , cup area-
cup vol- , cup/disc area ratio -

, cup/rim vol.
, mean max cup depth
, ,
(rim area, rim vol., -
, mean RNFL thickness- RNFL cross sect
area 2).
, .
[13, 14-17],
. J. Tan et al. [12] ,

, , ,
. N. Sheen at.al., ,

2,5 D. -

, 2274 ,
0,001 0,002 ,
.

[11, 13, 17].


,
.

R. Burk , , up/disc area ratio


( ) ,
. D.Poinoosawmy
at al,
. .. . [10]
( 50 )
(30-50 ), K. Gunderson t al. ,
.


[17,18]. .. [18],
, HRT-II
Rodenstock, , ,
, .. .
. ,
HRT, OCT GDxVSS, . ,
: GDxVSS nerve fiber index,
, HRT
FSM.

(84,3%), (70,6%).

, , ,
,
[13, 16-21]. .
,
, cup/disc area ratio (
),
[14].

,
.
38 88%, 60 99% [11].

[24].
,
[23]. , ,

.


, . S. Hyung ,
.
.. , .. , .. . .. ,
6.25-14,0 D
, ,

, 27
, 27 . ..
, ,
,
(
) ,
( 100%
). E. Chihara et al. [15]

. J. Vongphanit et al. [25]
1,6% ,
, . A. Dichtl et al.
,
, ,
- .
,
, .
, ( 3,0 2 )
.
37 96 (38,5%),
14 206 (6,6 %).
, .
, .

, 3,5 2
, .
3 2

.
, ,
,
.

,

,
. A. Azuara-Blanco [26] ,


. J.Jonas at all [5].
[27-30] . .. .,
-
, ,
. .. ,
, :
,
. ..
. [10]
.

.

, . 1-2
,
.

, 90- 20- ,

, , ,
.
,

. 2004
,
:
,
.

..

. . ..

- , -

1. .. . .,2001.
2. Montgomery D.M.J. Measurement of optic disc and neuroretinal rim area in normal and
glaucomatous eyes // Ophtalmology. 1991. 1. P. 50-59.
3. ..
(
) : . . . . . , 1977. 24 .
4. ..
: . . . . . ., 1986. 24 .
5. Jonas J.B., Schmidt A.M., Muller Bergh J.A. et al. Human optic nerve fiber count and optic disc
size // Invest. Ophthalmol. Vis. Sci. 1992. Vol. 33. . 20122018.
6. ..
// . . 1979. 3. . 181-182.
7. .. :
.. ... - . . ., 2002.
8. .., .. .
// . 2001. 2. . 4552.
9. Sommer A., Katz J., Quigley H.A. et al. Clinically Detectable Nerve Fiber Atrophy Precedes the
nset Glaucomatous Field Loss // Arch. Ophthalmol. 1991. V. 109. P. 77-83.
10. .., .. HRT
// . HRT -2004. 2004. . 107-108.
11. Nakamura H., Maeda T., Suzuki Y. Inoue Scanning laser tomography to evaluate optic discs of
normal eyes // Jpn. J. Ophthalmol. 1999. Vol. 43. No 5. . 410-414.

12. Tan J.C., Poinoosawmy D. Topographic identification of Neuroretinal rim loss in high
pressure, normal pressure and suspected glaucoma // Invest. Ophthalmol. and Vis. Sci. -2004.
Vol. 45. P. 22792285.
13. Airaksinen P.J., Drance S.M., Schulzer M. Neuroretinal Rim Area in Early Glaucoma // Am.J.
Ophthalmol. 1985. V. 99. 1. P. 1-4.
14. Caprioli J. The treatment of normal tension glaucoma // Amer J. Ophthalmol. 1998.
Vol. 126, N 10. P. 587-581.
15. Chinara E., Chinara K. Covariation of optic disc measurements and ocular paraments in the
healthy eye // Jraeles Arch. Clin .Exp. Ophthalmol. 1994. Vol. 5. P. 265-271.
16. Burk R., Tnulonen A., Airaksinen P.J. Laser scanning tomography of localized nerve layer
defects // Br. J. Ophthalmol. 1998. V. 82. 10. P. 11121117.
17. .., ..
( HRT II ) // . . VIII
. ., 2005. . 188-189.
18. .., .., ..

// : . c. . . ., 2004. . 17-18.
19. .. // .
. 2005. . 4-6.
20. .., ..
// . 2002. 2. . 16-19.
21. .. ..
HRT II //
. 2005. 2. . 3-9.
22. Brittion R.F., Drance S.M., Schulzer M. et al. The area of the Neuroretinal rim of the optic
nerve in normal eyes // Am. J. Ophthalmol. 1987. Vol. 103. . 497-504.
23. Mardin C.Y., Horn F.K., Jonas J.B. et al. Preperimetric glaucoma diagnosis by confocal
scanning laser tomography of the optic disc // Br. J. Ophthalmol. 1999. Vol. 83. 4. P.
299-304.
24. Chen E. Ratio of Hemi-Papillary Rim volume and Glaucoma Diagnosis wish Heidelberg Retinal
Tomograph. // Glaucoma. 2005. Vol. 14, 3. P. 206-209.
25. Vongphanit J., Mitchell P., Wang J.J Population prevalence of tilted optic discs and relationship
of this sign to refractive error // Am.J. Ophthalmol. 2002. V. 133. 5. P. 679-685.
26. Azuaro-Blanco A., Spaeth G.L., Lanzi I.M. Comparison between laser scanning tomography
and computerized image analysis of the optic disk // Br. Ophthalmol. 1998. V. 83 P. 295298
27. Heuck M., Soonsjoe B., Krakau C.E.I. Measurement of progressive disc change in glaucoma //
Ophthalmol. Sing. 1992. Vol. 23. 10. P. 672-679.