[The relationship between intraocular pressure and age-related variations in ocular rigidity].

Q3 Medicine

Vestnik oftalmologii Pub Date : 2024-01-01 DOI:10.17116/oftalma202414003111

O V Svetlova, I N Koshits, R M Pankratov, O V Makarovskaya, M V Zaseeva

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引用次数: 0

Abstract

Purpose: This study aimed to identify the correlation between age-related fluctuations in the average values of rigidity of the fibrous tunic of the eye (FTE) and corresponding ranges of true intraocular pressure (IOP) in healthy eyes and eyes with open-angle glaucoma (OAG); using the identified ranges of FTE rigidity, to establish the appropriate IOP zones for healthy and glaucomatous eyes, taking into account the aging periods as classified by the World Health Organization (WHO).

Material and methods: Ocular-Response Analyzer tonometry was used according to the Koshits-Svetlova dynamic diagnostic method to examine 674 patients with healthy eyes and 518 patients with glaucomatous eyes, aged 18 to 90 years, classified according to the WHO aging periods, and a theoretical analysis was conducted to estimate clinical values of FTE rigidity, the current level of true IOP, and the calculated individual IOP level in a patient's eye during youth.

Results: The following IOP level zones were identified for patients with healthy and glaucomatous eyes: low IOP zone (≤13 mm Hg); medium IOP zone (14-20 mm Hg); elevated IOP zone (21-26 mm Hg); high IOP zone (27-32 mm Hg); subcompensated IOP zone (33-39 mm Hg); and decompensated IOP zone (≥40 mm Hg).

Conclusion: The fundamental physiological criterion "rigidity" does not depend on central corneal thickness and consistently reflects the current level of true IOP. In all examined patients, both with healthy and glaucomatous eyes, healthy and glaucoma eyes with the same level of current rigidity had the same level of IOP. The ability to assign a given healthy or glaucomatous eye to a specific individual IOP zone is particularly important for the polyclinic system.

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[眼压与眼球僵硬度的年龄相关变化之间的关系]。

目的：本研究旨在确定健康眼和开角型青光眼（OAG）眼的眼球纤维膜（FTE）刚性平均值的年龄相关波动与相应的真实眼压（IOP）范围之间的相关性；利用确定的FTE刚性范围，考虑到世界卫生组织（WHO）划分的老化期，为健康眼和青光眼眼建立适当的眼压区：根据Koshits-Svetlova动态诊断方法，使用眼球反应分析仪眼压计对674名健康眼患者和518名青光眼患者进行了检查，这些患者的年龄在18至90岁之间，并根据世界卫生组织划分的老龄化时期进行了分类：结果：健康眼和青光眼患者的眼压水平分区如下：低眼压区（≤13 毫米汞柱）；中眼压区（14-20 毫米汞柱）；高眼压区（21-26 毫米汞柱）；高眼压区（27-32 毫米汞柱）；亚失代偿眼压区（33-39 毫米汞柱）；失代偿眼压区（≥40 毫米汞柱）：结论："刚性 "这一基本生理标准并不取决于角膜中央厚度，它能一致地反映当前的真实眼压水平。在所有接受检查的患者中，无论是健康眼还是青光眼眼，当前僵硬度相同的健康眼和青光眼眼的眼压水平都相同。将特定的健康眼或青光眼眼分配到一个特定的个体眼压区域的能力对于综合门诊系统尤为重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vestnik oftalmologii Medicine-Ophthalmology

CiteScore

0.80

自引率

0.00%

发文量

129

期刊介绍： The journal publishes materials on the diagnosis and treatment of eye diseases, hygiene of vision, prevention of ophthalmic affections, history of Russian ophthalmology, organization of ophthalmological aid to the population, as well as the problems of special equipment. Original scientific articles and surveys on urgent problems of theory and practice of Russian and foreign ophthalmology are published. The journal contains book reviews on ophthalmology, information on the activities of ophthalmologists" scientific societies, chronicle of congresses and conferences.The journal is intended for ophthalmologists and scientific workers dealing with clinical problems of diseases of the eye and physiology of vision.