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Table 2
Eye hydrodynamics in the paraoperative period
Study period
Tonography
Ро (mmHg)
С(mm
3
/min/mmHg)
Ро/С
Before treatment
31±2,1
0,13±0,018
106±14,61
Before surgery (after 15 days of treatment)
30±2,6*
0,13±0,016*
106±13,8*
After 5 days after operation
24±3,8*
0,13±0,011*
96±8,52*
Note. *
- significance of differences compared to the original my indicators (before treatment),
p <0.001.
Conclusions:
Combined antihypertensive therapy, led by a patient with primary open-angle
glaucoma had a more significant effect on the level BP. The combined use of Perindopril and
hypo thiazide surpasses treatment in positive effect on SPAP one perindopril.
Preoperative preparation with normalization of blood pressure allowed to avoiding both
operational and postoperative complications, such as hyphema, hemophthalmos, hypertensive
hemorrhagic detachment of choroid crisis, acute cerebrovascular accident. During the treatment
period, there was a significant improvement topographic indicator of the eye. Thus, the assessment
of the functional state of the cardiovascular system in patients with arterial hypertension before
surgical treatment glaucoma, the use of Perindopril and its combination with hypo thiazide
for Para operative correction of blood pressure and continuous clinical and monitoring of
major hemodynamic indicators in early postoperative period determine the results of surgical
intervention in this category patients can reduce postoperative complications, the duration of
treatment, improve the postoperative prognosis and optimize the quality of life the patient.
Literature
1. Kobalava Zh.D., Kotovskaya Yu.V. Arterial hypertension. - M.: Media, 2001. -- 208 s.
2. Chazov EI, Belenkov Yu.N. Rational pharmacotherapy of cardiovascular diseases. - M.:
Litera, 2005. -- 476 s.
3. Moshetova L.K., Nesterova A.P., Egorova E.A. Clinical guidelines. Ophthalmology. - M.:
GEOTAR-Media, 2007. -- 256 p.
4. Katsnelson L.A., Bunin A.Ya. Vascular disease eyes. - M., 1990. -- 272 s.
5. Gurevich M.A. Arterial hypertension in the elderly. - M., 2004. -- 144 s.
6. Kanyukov V.N., Bagirova G.G., Selivanova L.Yu. ACE inhibitors in ophthalmology. -
Orenburg: OSU, 2006. -- 147 s.
7. Kanyukov V.N., Bagirova G.G., Uzeneva A.N. etc. Paraoperative correction of somatic and
psychosomatic pathology in ophthalmic practice. - Orenburg: Press, 2011. -- 102 s.
8. AGIS Investigators The advanced Glaucoma intervention study.12 Baseline risk factors
for sustained loss of visual field and visual acuity in 94 patients with advanced glaucoma //
Am.j.0phthalmology.- 2002. -Vol. l34.-P.499-512.94
9. Burgoyne J.K., Wu Dunn D., Lakhani V., Cantor L.B. Outcomes of sequential tube shunts
in complicated glaucoma // Ophthalmology. 2000. Vol. 107. No. 2. P. 309–314.
10. Goldberg J. et al glaucoma in the 21 centary. London 2000.
11. Quigley H.A. et al. Brit. J. Ophthalmol. 2006.-90.-P.262-270.
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