DOI: https://doi.org/10.31435/rsglobal_sr/01062018/5614

1,2Асылбекова А. С.,
1,2Бердишева А. А.,
1,2Утельбаева З. Т. д. м. н., проф.,
2Криволапова Д. А. врач-интерн направление «хирургия»,
2Есмурзаева Д. Б. врач-интерн направление «хирургия»,
2Жанболат К. Т. врач-интерн, направление «хирургия»

1Казахстан, г. Алматы, Казахский НИИ глазных болезней;
2Казахстан, г. Алматы, КазНМУ им. С. Д. Асфендиярова



Despite the advances made in the reduction of intraocular pressure (IOP), some of the patients with glaucoma continue to lose visual functions, which indicates the progression of glaucoma optic neuropathy. In this regard, one of the most important tasks in the diagnosis of glaucoma is an objective assessment of the condition of the optic nerve disk (OND). Among the methods of objective evaluation of OND parameters, confocal scanning laser ophthalmoscopy (Heidelberg retinal tomography, HRT) takes the leading place. This is a highspeed, non-invasive technology that allows you to obtain realistic images of the fundus with the highest resolution quality, using a tissue scanning technique with a specially focused laser beam. Unlike conventional photography, which results in two-dimensional images, confocal scanning laser ophthalmoscopy reproduces volumetric (three-dimensional) graphic images, and also provides a quantitative analysis of the changes observed in pathological processes [11]. Advantages of the method are non-invasiveness, high sensitivity and specificity, which makes it possible to widely use the method in monitoring patients with glaucoma [12,13].

Keywords: glaucoma, HRT monitoring, IOP, compensated IOP, ophthalmology


1. Волков В. В. Глаукома при псевдонормальном давлении. – М.:Медицина, 2001. – 350с.
2. Либман Е. С., Гальперин М. Р., Гришина Е. Е., Сенкевич Н. Ю. Подходы к оценке качества жизни офтальмологических больных.//Клин. Офтальмол. – 2002. – №3. – С.119-121.
3. Sheuerle A. F., Shmidt E. Atlas of Laser Scanning Ophthalmoscopy//2004. – Springer. – 170p.
4. Куроедов А. В., Городничий В. В. Компьютерная ретинотомография (HRT): диагностика, динамика, достоверность.//М.-2007.-231 с.
5. Zangwill L. M., Chan K., Bowd C., et al. Heidelberg retina tomography meashurements of the optic disc and parapapillary retina for detecting glaucoma analized by machinel learning classifiers//Invest. Ophthalmol.Sci. – 2004. – P.3144-3151.
6. Orgul S., Cioffi G. A., Bacon D. R., Van Buskirk E. M. Sources of variability of topometric data with a scanning laser ophthalmoscope // Arch. Ophthalmol. – 1996. – Vol.114. – P.161-164.
7. Greaney M. J., Hoffman D. C., Garway-Heath D. F., Nakla M., Coleman A. L., Caprioli J. Comparison of optic nerve imaging methods to distinguish normal eyes from those with glaucoma//Invest.Ophthalmol. Vis.Sci. – 2002. – Vol.43. – P.140-145.
8. Shuman J. S., Wollstein G., Farra T. et al. Comparison of optic nerve head measurements obtained by optical coherence tomography and confocal scanning laser ophthalmoscopy// Am. J. Ophthalmol. – 2003. – Vol.135. – P.504-512.
9. Zangwill L. M. Weinreb R. N., Berry C. C. et al. Racial differences in optic disc topography: baseline results from the confocal scanning laser ophthalmoscopy ancillary study to the ocular hypertension treatment study// Arch. Ophthalmol. – 2004. – Vol.122. – P.22-28.
10. Zangwill L. M. Weinreb R. N., Beyser J. A. et al. Baseline topographic optic disc meashurements are associated with the development of primary open-angle glaucoma: the confocal scanning laser ophthalmoscopy ancillary study to the ocular hypertension treatment study//Arch. Ophthalmol. – 2005. – Vol.123. – P.22-28.
11. Park K. H., Caprioli J. Development of a novel reference plane for the Heidelberg retina tomograph with optical coherence tomography measurments// J.Glaucoma. – 2002. –Vol.11. – P.385.
12. Nicolela M. T., McCormick T. A., Drance S. M. et al. Visual field and optic disc progression in patients with different types of optic disc damage: a longitudinal prospective study// Ophthalmology. – 2003. – Vol.1. – P.2178-2184.
13. Patterson A. J., Garway-Heath D. F., Strouthidis N. G., Crabb D. P. A new ststistical approach for quantifyingchange in series of retinal and optic nerve head topography images// Invest. Ophthalmol. Vis. Sci. – 2005. – Vol.46. – P.1659-1657.