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Это приводит к повреждению зрительного нерва и постепенной потере полей зрения [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Без своевременного лечения глаукома может закончиться слепотой [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n\nВыделяют разные формы глаукомы [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/): \n* **Открытоугольная** — самая распространённая форма у взрослых (до 90% случаев) [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Угол передней камеры глаза открыт, но дренажная система работает недостаточно эффективно [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n* **Закрытоугольная** — встречается реже, чаще у людей с дальнозоркостью [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Угол передней камеры сужен или закрыт, и это вызывает резкий скачок давления [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Может протекать в хронической форме или проявляться острым приступом [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n* **Вторичная** — развивается как осложнение других заболеваний и состояний: диабетической ретинопатии, пигментной или эксфолиативной глаукомы, увеита, травмы глаза при приёме кортикостероидов [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n* **Врождённая** — вызвана нарушением оттока внутриглазной жидкости с первых месяцев жизни [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/).\n\n\n\n## Причины\nОсновной триггер глаукомы — **нарушение оттока внутриглазной жидкости** [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Некоторые факторы риска: \n* наследственность [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/); \n* возраст старше 40 лет [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/); \n* близорукость или дальнозоркость высокой степени [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/); \n* перенесённые травмы или операции на глазах [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/); \n* сахарный диабет, артериальная гипертензия [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/); \n* длительный приём стероидов [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/).\n\n## Симптомы\nНа ранних стадиях глаукома часто протекает бессимптомно [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/). Некоторые признаки: \n* **Сужение поля зрения**, особенно периферийного [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/). \n* **Боль в глазах**, особенно после длительной работы за компьютером или в условиях яркого света [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/). \n* **Появление радужных кругов и ореолов вокруг источников света**, особенно ночью или при взгляде на яркие огни [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/). \n* **Туман или затуманивание зрения**, особенно в тёмное время суток [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/). \n* **Ощущение «песка» или инородного тела в глазу** [10](https://optic-center.ru/articles/zabolevaniya-glaz/kak-raspoznat-simptomy-glaukomy-na-rannikh-stadiyakh/).\n\n## Диагностика\nДля диагностики глаукомы используют следующие методы: \n* **Тонометрия** — измерение внутриглазного давления [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/)[13](https://gemotest.ru/info/spravochnik/zabolevaniya/glaukoma/). \n* **Гониоскопия** — оценка угла передней камеры глаза [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n* **Периметрия** — исследование полей зрения [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). \n* **Оптическая когерентная томография (ОКТ)** — детальное сканирование зрительного нерва и сетчатки [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/).\n\n## Лечение\n**Полностью вылечить глаукому нельзя**, но можно стабилизировать процесс [1](https://mamadeti.ru/article/lechenie-glaukomy/). Цель лечения — снизить и стабилизировать внутриглазное давление, сохранив зрение [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/). Некоторые методы: \n* **Медикаментозная терапия** — назначение глазных капель, которые улучшают отток внутриглазной жидкости или уменьшают её продукцию [16](https://expertzrenie.ru/services/cataract/pervichnaya-glaukoma/). \n* **Лазерное лечение** — используется для улучшения оттока внутриглазной жидкости [2](https://fnkc-fmba.ru/zabolevaniya/glaukoma/). \n* **Хирургические вмешательства** — в сложных случаях, при неэффективности других мер по снижению и стабилизации внутриглазного давления [16](https://expertzrenie.ru/services/cataract/pervichnaya-glaukoma/). \n\n**Важно регулярно проходить профилактические осмотры у офтальмолога** — особенно после 40 лет и при наличии факторов риска [3](https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/).","linksData":[{"sourceId":1,"url":"https://mamadeti.ru/article/lechenie-glaukomy/","shownUrl":"https://mamadeti.ru/article/lechenie-glaukomy/","title":"Глаукома: что это, симптомы, лечение и операция","shortUrl":"mamadeti.ru","isTranslated":false,"description":"","greenUrl":"mamadeti.ru"},{"sourceId":2,"url":"https://fnkc-fmba.ru/zabolevaniya/glaukoma/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/glaukoma/","title":"Глаукома - симптомы, признаки, лечение, диагностика","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":3,"url":"https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/","shownUrl":"https://www.zrenie.spb.ru/stati/glaukoma-simptomy-diagnostika-i-sposoby-lecheniya/","title":"Глаукома: что это, признаки и лечение заболевания","shortUrl":"zrenie.spb.ru","isTranslated":false,"description":"","greenUrl":"zrenie.spb.ru"},{"sourceId":4,"url":"https://www.VIDAL.ru/encyclopedia/oftalmologiya/glaucoma","shownUrl":"https://www.VIDAL.ru/encyclopedia/oftalmologiya/glaucoma","title":"Глаукома открытоугольная и закрытоугольная - что это, лечение, симптомы, причины, реабилитация после операции, коды МКБ10","shortUrl":"VIDAL.ru","isTranslated":false,"description":"","greenUrl":"VIDAL.ru"},{"sourceId":5,"url":"https://www.fdoctor.ru/bolezn/glaucoma/","shownUrl":"https://www.fdoctor.ru/bolezn/glaucoma/","title":"Факторы риска развития глаукомы","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":6,"url":"https://voronezh.sovamed.ru/zabolevaniya/glaukoma-simptomy-lechenie-diagnostika/","shownUrl":"https://voronezh.sovamed.ru/zabolevaniya/glaukoma-simptomy-lechenie-diagnostika/","title":"Глаукома: причины, симптомы, признаки, диагностика, лечение","shortUrl":"voronezh.sovamed.ru","isTranslated":false,"description":"","greenUrl":"voronezh.sovamed.ru"},{"sourceId":7,"url":"https://ProBolezny.ru/glaukoma/","shownUrl":"https://ProBolezny.ru/glaukoma/","title":"Глаукома: причины, симптомы и лечение в статье офтальмолога Нежибовская Ю. 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