Veselovska N. M.

Kyiv City Ophthalmologic Center, Kyiv City Clinical Hospital no. 1, Kyiv, Ukraine
Kyiv Medical University of UAFM, Kyiv, Ukraine

 Summary. At the present time, despite the high level of diagnostic, therapeutic technologies and the variety of pharmacological drugs for the treatment of glaucoma the degree of glaucoma disability increases progressively. Now glaucoma took the first place among the causes of blindness in Ukraine. At the same time, the activity of the social and medical events on the base of introduction of new technologies increased recent years. The paper presents summarizing data on the analysis of risk factors for the development of ocular hypertension and primary open-angle glaucoma, among which a special place occupies the psychoemotional stress of professional nature, which leads to the development of metabolic disorders with subsequent changes in the vascular system, ischemia and neurodegenerative processes in the visual analyzer system in the condition of long-term exposure.

 Keywords: glaucoma progression, blindness, disability, pathogenesis, occupational stress.

 REFERENCES

1. Alekseev V. N., Martynova Ye. B. (2001) New approaches to antihypertensive therapy of primary open-angle glaucoma. Consilium Medicum. Oftalmologiya [Consilium Medicum. Ophthalmology], pр. 3–9 (in Russian).
2. Baevskiy R. M., Berseneva A. P. Theoretical basis of preclinical diagnosis. Donozologiya i zdorovyy sposob zhizni [Prenosology and healthy way of life]. 2008; (2): 2–13 (in Russian).
3. Basanets A. V., Veselovska N. M., Martyrosova V. H. Occupational risk factors and prevention of vascular and endocrine eye diseases. Kyiv, 2013, 21 р. (in Ukrainian).
4. Veselovska N. M. Occupational risk factors and prevention of eye disease, vascular endocrine origin (clinical and experimental study) (Dr. Sc. Thesis), Kyiv, 2014, 42 p. (in Ukrainian).
5. Veselovska N. M., Veselovska Z. F. Assessment of potential risk factors for primary open-angle glaucoma associated with professional activity. Proceedings of the “Glaukoma na rubezhe vekov” (Russia, Kazan, September 5–6, 2013). Kazan, 2013, рр. 37–40 (in Russian).
6. Veselovska N. M. Evaluation of the risk of vascular disease of the body as a result of the analysis of retinal. Oftalmologiya. Vostochnaya Yevropa [Ophthalmology. Eastern Europe]. 2013; (16): 49–54 (in Russian).
7. Veselovska N. M., Veselovska Z. F., Slobodianiuk I. M., Slobodianiuk M. I. Assessment of the effects of professional activity as a risk factor for vascular pathology of eye in doctors. Fiziolohichnyi zhurnal [Physiological journal]. 2013; (59): 88–93 (in Ukrainian).
8. Volkov V. V. An essential element of glaucomatous process not taken into account in clinical practice. Oftalmologicheskiy zhurnal [Journal of ophthalmology]. 1976; (7): 500–504 (in Russian).
9. Galimov A. R. Stress at work of surgeons and its prevention (PhD Thesis), Мoscow, 2006, 24 p. (in Russian).
10. Denisenko M. D. Individual mechanisms of emotional stress in people with different types of circulatory (PhD Thesis), Saint Petersburg, 2011, 20 p. (in Russian).
11. Zabrodin N. A. Hormonal status with occupational stress. Meditsina truda i promyshlennaya ekologiya [Occupational medicine and industrial ecology]. 2006; (1): 20–22 (in Russian).
12. Zavgorodnyaya N. G., Pasechnikova N. V. Primary glaucoma. A new look at an old problem. Zaporizhia: Orbita-Yug, 2010, 184 р. (in Russian).
13. Izmerov N. F., Lipenetskaya T. D., Matyukhin V. V. The concept of cerebral mechanisms of long-term adaptation to adverse environmental factors in the light of the scientific heritage of Sechenov I. M. Meditsina truda i promyshlennaya ekologiya [Occupational medicine and industrial ecology]. 2005; (2): 1–6 (in Russian).
14. Kovalenko V. N., Talaeva T. V., Shumakov V. A. Arterial hypertension and systemic metabolic disorders in the pathogenesis of essential hypertension. Zhurnal NAMN Ukrainy [Journal of NAMS of Ukraine]. 2012; (18): 40–54 (in Russian).
15. Kravchenko O. K. Challenges and opportunities for optimization of working conditions of health workers serving modern high-tech medical equipment. Meditsina truda i promyshlennaya ekologiya [Occupational medicine and industrial ecology]. 2007; (4): 5–11 (in Russian).
16. Kundiiev Yu. I., Basanets A. V. The eighth global meeting of representatives of centers that collaborate with WHO in the field of Occupational Medicine, Geneva, October 18–23, 2009. Ukrainskyi zhurnal z problem medytsyny pratsi [Ukrainian journal of the problems of occupational medicine]. 2010; (21): 80–83 (in Ukrainian).
17. Mamikonyan V. R., Kazaryan E. E., Kozlova I. V. Analysis of ocular pulsatile blood flow in primary open-angle glaucoma. Proceedings of the “Glaukoma: realnost i perspektivy” (Russia, Moscow, September, 26–27, 2008). Мoscow, 2008, p. 83 (in Russian).
18. Kurysheva N. I., Markicheva H. A., Nagornova N. D. Metabolic concept of the pathogenesis of glaucomatous optic neuropathy. Proceedings of the “Sovremennye tekhnologii lecheniya glaukomy” (Russia, Moscow, June 20–21, 2003). Мoscow, 2003, pp. 87–95 (in Russian).
19. Bagga H., Greenfeld D. S., Knighton R. W. Macular symmetry testing for glaucoma detection. Journal of Glaucoma. 2005; (14): 358–363.
20. Brusini P., Filacorda S. Enhanced Glaucoma Staging System (GSS 2) for classifying functional damage in glaucoma. Journal of Glaucoma. 2006; (15): 40–46.
21. Crawford J. O., Bolas S. M. Sick building syndrome, work factors and occupational stress. Scandinavian Journal of Work, Environment & Health. 1996; (22): 243–250.
22. Deleon-Ortega J. E., Arthur S. N., McGwin G. Jr., Xie A., Monheit B. E., Girkin C. A. Discrimination between glaucomatous and non-glaucomatous eyes using quantitative imaging devices and subjective optic nerve head assessment. Investigative Ophthalmology & Visual Science. 2006; (47): 3374–3380.
23. Medeiros F. A., Zangwill L. M., Bowd C., Vessani R. M., Susanna R. Jr., Weinreb R. N. Evaluation of retinal nerve fibre layer, optic nerve head, and macular thickness measurements for glaucoma detection using optical coherence tomography. American Journal of Ophthalmology. 2005; (139): 44–55.
24. Heidbreder E. Emotion und Hypertonie: Die Integrative Roll des Zentralnervensistems. Wiener Klinische Wochenschrift. 1981; (59): 715–726.
25. Levington S. The importance of cholesterol, blood pressure and smoking for coronary heart disease. European Heart Journal. 2003; (24): 1703–1704.
26. Suzuki Y., Iwase A., Araie M., Yamamoto T., Abe H., Shirato S., Kuwayama Y., Mishima H. K., Shimizu H., Tomita G., Inoue Y., Kitazawa Y. Risk factors for open-angle glaucoma in a Japanese population: the Tajimi Study. Ophthalmology. 2006; (113): 1613–1617.
27. Selje H. The story of the adaptation syndrome. Montreal: ACTAJNC Medical Publ., 1952, 225 p.

Received: 18 March 2016

Published: July 2016