ПРИМЕНЕНИЕ БЛОКАТОРОВ КАЛЬЦИЕВЫХ КАНАЛОВ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ТРОМБОЗОВ ВЕН СЕТЧАТКИ

Relevance. Central retinal vein occlusion (CRVO) is one of the most common vascular diseases of the eye, potentially leading to complete or partial loss of vision. Purpose of the study. Clinical and functional evaluation of the effectiveness of complex treatment of central retinal vein occlusion (CRVO), including calcium channel blockers. Materials and methods. 32 patients (32 eyes) with CRVO were examined, all of them underwent standard methods of general and ophthalmological examination, as well as duplex scanning of carotid arteries and OCT. The patients were divided into 2 groups of 16 people; the main group was prescribed CCB nimodipine, while the control group was prescribed cinnarizine in addition to the standard treatment. Results and conclusion. Visual acuity in patients of the main group increased from 0.07±0.09 to 0.30±0.03 in 6 months after treatment, in the control group this figure was 0.06±0.12 before treatment and 0.17±0.01 in 6 months. According to OCT data, in the main group, the total thickness of the retina in the macular area decreased on average from 385±16.26 μm to 286±8.45 μm, in the control group — to 299.01±8.63 μm. In all patients with CRVO, lesions of the carotid arteries of varying severity were found. Thus, carotid ultrasound scanning is recommended for all patients over 50 years of age. The proposed method for the complex therapy of CRVO is effective and can be recommended as a method of choice in the treatment of retinal veins occlusion.

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