ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2020-2-238-248ophthalmology-1202Research ArticleКЛИНИЧЕСКИЕ И ЭКСПЕРИМЕНТАЛЬНЫЕ ИССЛЕДОВАНИЯCLINICAL & EXPERIMENTAL RESEARCHДиагностические возможности стандартной автоматической и функционально-ориентированной периметрии (HFA, Octopus) в исследовании поля зрения у пациентов с компрессией в хиазмально-селлярной областиDiagnostic Possibilities of Standard Automatic and FunctionSpecific Perimetry (HFA, Octopus) in the Study of the Visual Field in Patients with Compression in the Chiasm-Sellar RegionГавриловаН. А.GavrilovaN. A.n.gavrilova@mail.ruИойлеваЕ. Э.IoylevaE. E.ГаджиеваН. С.GadzhievaN. S.ТищенкоО. Е.TishchenkoO. E.КутровскаяН. Ю.KutrovskayaN. Yu.ЗиновьеваА. В.Zinov’evaA. V.ГБОУ ВО «Московский государственный медико‑стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииРоссияThe A.I. Yevdokimov Моscow State University of Medicine and DentistryRussian FederationФГАУ НМИЦ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской Федерации; ГБОУ ВО «Московский государственный медико‑стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской ФедерацииРоссияThe A.I. Yevdokimov Моscow State University of Medicine and Dentistry; The S. Fyodorov Eye Microsurgery Federal State InstitutionRussian Federation202023062020172238248Copyright © Гаврилова Н.А., Иойлева Е.Э., Гаджиева Н.С., Тищенко О.Е., Кутровская Н.Ю., Зиновьева А.В., 20202020Гаврилова Н.А., Иойлева Е.Э., Гаджиева Н.С., Тищенко О.Е., Кутровская Н.Ю., Зиновьева А.В.Gavrilova N.A., Ioyleva E.E., Gadzhieva N.S., Tishchenko O.E., Kutrovskaya N.Y., Zinov’eva A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1202

В литературном обзоре представлены результаты проведения статической периметрии для исследования поля зрения у пациентов с компрессией в хиазмально-селлярной области с использованием Humphrey Visual Field Analyzer (HFA) и Octopus, так как данные модели периметров в настоящее время признаны «золотым стандартом» и получили наиболее широкое распространение в мировой офтальмологической практике. Проведен анализ результатов исследований с использованием традиционной и функционально-ориентированной периметрии с избирательной стимуляцией магно- и коницеллюлярных (frequency-doubling technology perimetry, FDT; short-wavelength automated perimetry, SWAP) зрительных путей. Анализ литературных данных позволяет сделать вывод о том, что статическая периметрия для исследования поля зрения при хиазмально-селлярной компрессии проводится достаточно широко и является информативной, но, несмотря на это, общепринятых рекомендаций по использованию определенных стратегий и программ тестирования для диагностики и дальнейшего динамического наблюдения изменений поля зрения у пациентов с данной патологией пока не существует. В связи с этим целесообразно проведение дальнейших исследований, которые позволят на основании сравнительного анализа диагностической информативности различных стратегий и программ сформировать стандартные периметрические протоколы для диагностики и мониторинга дефектов поля зрения у пациентов с компрессией в хиазмально-селлярной области.

The literature review presents the results of a static perimetry for the study of the visual field in patients with compression in the chiasm-sellar region on the Humphrey Visual Field Analyzer (HFA) and Octopus. These models of perimeters are recognized as the “gold standard” and are most widely used in the global ophthalmic practice. The analysis of research results using traditional and function-specific perimetry with selective stimulation of the magnocellular and koniocellular (frequency-doubling technology perimetry, FDT; short-wavelength automated perimetry, SWAP) visual pathways was performed. The literature data analysis allows us to conclude that the static perimetry for the study of the visual field in patients with chiasmatic compression is carried out quite widely and is informative. But despite this, there are no generally accepted recommendations on the use of certain testing strategies and programs for the diagnosis and further dynamic observation of changes in the visual field in patients with this pathology. In this regard, it is advisable to conduct further studies that will allow the formation of standard perimetric protocols for diagnosing and monitoring visual field defects in patients with compression in the chiasm-sellar region based on a comparative analysis of the diagnostic informativity of various strategies and programs.

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The authors declare that there are no conflicts of interest present.