INFLUENCE OF KSALATAN ON IOP, HEMODYNAMICS PARAMETERS IN PATIENTS GLAUCOMA IN COMBINATION WITH MYOPY OF HIGH DEGREE

N. V. Makashova

Institute of Eye Diseases of Russian Academy of Medical Sciences

PURPOSE: to investigate influence of 0,005% ksalatan solution on eye hemodynamic parameters, intraocular pressure (IOP) in patients with glaucoma in combination with myopia of a high degree.

MATERIAL and METHODS: 17 patients (34 eyes) with myopia of a high degree were observed. The 1st group (control) included 14 eyes only with myopia, the 2nd group included 20 eyes with open-angle glaucoma in combination with myopia. A tonometry on Goldman was performed in all patients. Hemodynamic parameters such as amplitude of eye pressure pulse (AEPP), systolic increase pulse pressure (SPP) were measured by impression automated ophthalmotonograph. The arterial pressure (AP) and the pulse were measured. All studies were performed twice before and in 12 hours after a single instillation 0,005% ksalatan solution.

RESULTS: The fluctuations of arterial pressure and pulse were insignificant during all research. In control group the IOP decrease on 11% (p=0,05) was observed, AEPP has decreased on 14% (p<0,05), SPP change in this group was doubtful. In the 2nd group the IOP authentic decrease on 30% (p<0,05) was marked and AEPP on 19% (p<0,05), SPP authentically has increased on 21 % (p<0,05).

CONCLUSION: Ksalatan instillation causes authentic and significant IOP decrease in patients with glaucoma in a combination with myopia of high degree. In control group of patients with myopia of high degree a small IOP decrease also is marked. The hemodynamic  parameters were authentically improved in the group of the patients with  glaucoma in combination with myopia of high degree. The obtained results enable to assume a favorable influence of ksalatan on eye hemodynamic condition that is especially important in the patients with myopia of a high degree.

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