İŞEMİK OPTİKOPATİYALARIN İNKİŞAFINDA VERTEBROBAZİLYAR QAN DÖVRANI POZĞUNLUQLARININ ROLU VƏ MÜALİCƏSİ

Abstract

SUMMARY

Purpose. Study of the role of the transcranial and extracranial circulation violation in the beginning and
development of the ischemic opticopathy and results of its treatment.

Material and method
With this purpose 24 patients (42 eyes) with ischemic opticopathy were investigated,
dopplerographic researches in the vertebrobasilar and intraorbital vascular network were performed, the complex
treatment directed to the correction not only of the ocular but of the cerebral circulation was elaborated.

Results
The results of these investigations have proved to indicate that in 10 patients out of 21 one with the
ischemic opticopathy the blood flow decreases up to 80-106 cm/sec (75-13Icm/sec in N) in the middle cerebral
vessels, providing up to 80% of brain’s blood circulation, in 14 patients - in the siphons of the internal carotid
artery up to 34-40cm/sec (N40—80cm/sec), in 12 patients - in the ophthalmic artery and in all patients in the
Vl-VIII-th vertebral vessels. Rapid blood flow in Rosenthal’s veins and in the direct sinus was 18-22cm/sec (14-
28cm/sec in N) - the changes are insignificant. Herewith, the blood flow intensification up to 20-38cm/sec in the
suprathochlearis artery was noted which is the branch of the external carotid artery.
Taking into consideration that the vessels of the eyeball are the continuation of brain vessels, we had performed
the complex treatment directed to correction ofblood circulation not only of optic nerve but ofbrain as well.