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Цель — оценить однородность роговицы и индивидуальные особенности строения [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/). \n\nСуществует два метода пахиметрии [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/): \n1. **Бесконтактный (оптический)** [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). \n2. **Контактный (ультразвуковой)** [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/).\n\n\n\n## Показания\nПахиметрию проводят в разных случаях, например: \n* **Деформации роговой оболочки**: кератоконус, кератоглобус [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/). \n* **Нарушения питания роговицы**, сопровождающиеся её дистрофией (дистрофия Фукса) [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/). \n* **Подозрение на отёк роговицы** (например, на фоне травмы или воспаления) [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/). \n* **Глаукома**: оболочка реагирует на повышенное внутриглазное давление [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/). \n* **Подготовка к офтальмологическим операциям** (лазерная коррекция зрения, удаление катаракты и т. п.) [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/). \n* **В послеоперационном периоде** для контроля заживления [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/)[9](https://msk.excimerclinic.ru/eye-check/pakhimetriya/).\n\n## Противопоказания\nНекоторые противопоказания к пахиметрии: \n* инфекционные поражения глаз и выраженные воспалительные процессы [12](https://doct.ru/operatsii/pakhimetriya.html); \n* травмы или эрозии роговичного эпителия [12](https://doct.ru/operatsii/pakhimetriya.html); \n* ранний восстановительный период после операций на переднем сегменте [12](https://doct.ru/operatsii/pakhimetriya.html); \n* аллергические реакции на местные анестетики при ультразвуковом способе [12](https://doct.ru/operatsii/pakhimetriya.html); \n* нестабильное общее состояние пациента, исключающее любые манипуляции на глазах [12](https://doct.ru/operatsii/pakhimetriya.html). \n\nРешение о проведении пахиметрии принимает индивидуально врач, учитывая особенности здоровья пациента и показания к исследованию [10](https://ophthalmolog.site/pahimetriya).\n\n## Методика проведения\n**Бесконтактная пахиметрия** проводится с помощью щелевой лампы со специальной насадкой [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Пациент садится перед аппаратом, прислоняет лоб и подбородок к специальным подставкам, чтобы не двигать головой во время исследования [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Врач садится с другой стороны от аппарата, наводит световой фокус на глаз пациента и измеряет толщину роговицы [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Процедура длится несколько секунд [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). \n\n**Контактная пахиметрия** делается с помощью ультразвука и специальных датчиков [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Перед процедурой в глаза закапывают анестетик — он снижает чувствительность и делает исследование безболезненным [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). После того, как анестетик подействует, пациент садится или ложится рядом с аппаратом УЗИ [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Врач аккуратно помещает датчик на глазное яблоко [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Прибор автоматически измеряет толщину роговицы и выводит данные на монитор [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). Процедура длится несколько минут [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/). После неё пациенту в глаза закапывают антисептический препарат, чтобы избежать воспалений и инфекций [3](https://gutaclinic.ru/services/ophthalmology/Pakhimetriyaglaza/).\n\n## Интерпретация результатов\n**Нормальная толщина роговицы** [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/): \n* 0,49–0,54 мм в центральной зоне [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/); \n* 0,7–0,9 мм на периферии [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/). \n\n**Критичными** являются существенные отклонения результатов от нормы [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/). Они могут быть следствием воспалительных или дистрофических процессов, результатом травмы или перенесённой операции [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/). Только врач может точно сказать, с чем связано изменение толщины роговицы [2](https://rnd.excimerclinic.ru/eye-check/pakhimetriya/). 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