ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2021-2-208-215ophthalmology-1534Research ArticleОБЗОРЫREVIEWSРоль оптической когерентной томографии в диагностике заболеваний закрытого угла передней камеры глаза. Часть 1: Визуализация переднего сегмента глазаThe Role of Optical Coherence Tomography in the Diagnosis of Angle Closed Diseases of the Anterior Chamber. Part 1: Visualization of the Anterior Segment of the Eyehttps://orcid.org/0000-0002-2265-6671КурышеваН. И.KuryshevaN. I.

доктор медицинских наук, профессор, заведующая кафедрой глазных болезней;заведующая кафедрой офтальмологии; руководитель консультативно-диагностического отдела,

Волоколамское шоссе, 91, Москва, 125371,

ул. Гамалеи, 15, Москва, 123098

МD, Professor, Head of the Ophthalmology department, head of the Consultative and diagnostic department,

Volokolamskoye highway, 91, Moscow, 125371,

Gamalei str., 15, Moscow, 123098

https://orcid.org/0000-0002-7163-4858ШароваГ. А.SharovaG. A.

заведующая диагностическим офтальмологическим отделением, лазерный хирург,

проспект Буденного 26/2, Москва, 105118

Head of the Diagnostic ophthalmology department, laser surgeon,

26/2 Budenny ave., Moscow, 105118

galina.shar@mail.ruМедико-биологический университет инноваций и непрерывного образования ФГБУ ГНЦ РФ «Федеральный биофизический центр им. А.И. Бурназяна» Федерального медико-биологического агентства России; Консультативно-диагностический отдел Центра офтальмологии Федерального медико-биологического агентства России, ФГБУ ГНЦ РФ «Федеральный биофизический центр им. А.И. Бурназяна»; Академия постдипломного образования ФБГУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий» Федерального медико-биологического агентства РоссииРоссияMedical Biological University of Innovations and Continuing Education of the Federal Biophysical Center named after A.I. Burnazyan; Diagnostic Department of the Ophthalmological Center of Federal Medical‐Biological Agency of Russia; Academy of postgraduate education under FSBU FSCC of FMBA of RussiaRussian FederationООО «Глазная клиника доктора Беликовой»РоссияOphthalmology Clinic of Dr. BelikovaRussian Federation202103072021182208215Copyright © Курышева Н.И., Шарова Г.А., 20212021Курышева Н.И., Шарова Г.А.Kurysheva N.I., Sharova G.A.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/1534

Целью настоящей работы является обзор литературных данных, посвященный роли оптической когерентной томографии в диагностике заболеваний закрытого угла передней камеры глаза. Представлен анализ применения современных технических устройств для проведения оптической когерентной томографии переднего отрезка глаза (AS-OST) и моделей с частотно-модулируемым источником (Swept Source). Появление новых технологий визуализации, таких как SS-OCT, способствует пониманию патогенеза заболеваний первичного закрытия угла передней камеры глаза. Визуализация структур переднего сегмента глаза представляет собой важную часть стратегии, направленной на решение проблемы выявления факторов риска, диагностику, мониторинг и оценку эффективности лечения болезней первичного закрытия угла передней камеры глаза. Качественный и количественный анализ данных на основе оптической когерентной томографии существенно повышает точность диагностики, что, несомненно, играет ключевую роль в выборе тактики лечения закрытого угла передней камеры. При интерпретации результатов исследований следует принимать во внимание сильные и слабые стороны традиционных методов и недавно разработанные технологии.

Заключение. Оптическая когерентная томография переднего отрезка глаза является эталоном в современной диагностике и оценке эффективности лечения заболеваний первичного закрытия угла глаза с учетом патогенетических механизмов. 

The purpose of this work is to review the literature data on the role of optical coherence tomography in the diagnosis of diseases of the closed angle of the anterior chamber. An analysis of the modern technical devices use — optical coherence tomography of the anterior segment (AS-OST) and models with a frequency-modulated source (Swept Source) is presented. The advent of new imaging technologies such as SS-OCT is advancing the understanding of the pathogenesis of primary angle closure diseases. Visualization of the structures of the anterior segment of the eye is an important part of the strategy aimed at solving the problem of identifying risk factors, diagnosing, monitoring and evaluating the effectiveness of treatment of diseases of primary angle closure. Qualitative and quantitative data analysis based on optical coherence tomography significantly increases the diagnostic accuracy, which undoubtedly plays a key role in the choice of treatment tactics for the closed angle of the anterior chamber. The interpretation of research results should take into account the strengths and weaknesses of traditional methods and newly developed technologies.

Conclusion. Optical coherence tomography of the eye’s anterior segment is a standard in modern diagnostics and evaluation of the effectiveness of treatment of diseases of primary angle closure, taking into account pathogenetic mechanisms. 

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