Suprun A V, Gusev E V, Efimova M N
Oftalmol Zh. 1989(2):89-92.
Dynamic examinations of 78 patients with a primary diagnosis of glaucoma with low intraocular pressure and 25 persons without disturbances in intraocular pressure regulation, using up-to-date adequate methods--ultrasound dopplerography, rheography, fluorescence angiography, electron tonography, as well as other traditional methods, allow to make a conclusion that glaucoma with low intraocular pressure is a variant of the development of a typical open-angle glaucoma complicated by involutional changes in the body in a form of chronic vascular deficiency (chronic ischemic neuropathy of the eye). Glaucoma with low pressure should be differentiated from ischemic neuropathy or its outcome. The criterium for a diagnosis of low pressure glaucoma is the presence of changes in hydrodynamic and their progression (intensification of retention in reduced level of intraocular fluid outflow), positive results of unloading tests. A term "primary open-angle glaucoma, chronic vascular deficiency" is proposed.
对78例初步诊断为低眼压性青光眼的患者以及25例眼压调节无异常的人进行动态检查，采用最新的适当方法——超声多普勒成像、血流描记法、荧光血管造影、电子眼压描记法以及其他传统方法，得出结论：低眼压性青光眼是典型开角型青光眼发展的一种变体，伴有身体的退行性变化，表现为慢性血管供血不足（眼部慢性缺血性神经病变）。低眼压性青光眼应与缺血性神经病变或其后果相鉴别。诊断低眼压性青光眼的标准是存在流体动力学变化及其进展（眼内液流出水平降低时潴留加剧）以及负荷试验阳性结果。提出了“原发性开角型青光眼，慢性血管供血不足”这一术语。
