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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">microcirculation</journal-id><journal-title-group><journal-title xml:lang="ru">Регионарное кровообращение и микроциркуляция</journal-title><trans-title-group xml:lang="en"><trans-title>Regional blood circulation and microcirculation</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1682-6655</issn><issn pub-type="epub">2712-9756</issn><publisher><publisher-name>Academician I.P. Pavlov First St. Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1682-6655-2024-23-4-22-29</article-id><article-id custom-type="elpub" pub-id-type="custom">microcirculation-1372</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Ультразвуковые допплеровские методы в оценке глазного кровотока у пациентов с глаукомой</article-title><trans-title-group xml:lang="en"><trans-title>Evaluation of ocular blood flow by Doppler Ultrasound in patients with glaucoma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3679-8619</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малишевская</surname><given-names>T. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Malishevskaya</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малишевская Татьяна Николаевна – доктор медицинских наук, заведующая отделением аналитической работы, доцент кафедры непрерывного медицинского образования</p><p>105062, Москва, ул. Садовая-Черногрязская, д. 14/19</p></bio><bio xml:lang="en"><p>Malishevskaya Tatiana N. – MD, Head, Analytical Department, Associate Professor, Continuing Medical Education Department</p><p>14/19, Sadovaya-Chernogryazskaya str., Moscow, 105062</p></bio><email xlink:type="simple">malishevskoff@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9185-6407</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киселева</surname><given-names>T. H.</given-names></name><name name-style="western" xml:lang="en"><surname>Kiseleva</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Киселева Татьяна Николаевна – доктор медицинских наук, профессор, руководитель отдела ультразвуковых исследований, профессор кафедры непрерывного медицинского образования</p><p>105062, Москва, ул. Садовая-Черногрязская, д. 14/19</p></bio><bio xml:lang="en"><p>Kiseleva Tatiana N. – MD, Professor, Head, Ultrasound department, Professor, Continuing Medical Education Departmen</p><p>14/19, Sadovaya-Chernogryazskaya str., Moscow, 105062</p></bio><email xlink:type="simple">tkisseleva@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-2258-2207</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рензяк</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Renzyak</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рензяк Екатерина Владимировна – врач-офтальмолог офтальмологического центра</p><p>628011, г. Ханты-Мансийск, ул. Калинина, д. 40 </p></bio><bio xml:lang="en"><p>Renzyak Ekaterina V. – Ophthalmologist, Ophthalmological Center</p><p>40, Kalinina str., Khanty-Mansiisk, 628011</p></bio><email xlink:type="simple">katrenzyak@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center for Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Бюджетное учреждение Ханты-Мансийского автономного округа – Югры «Окружная клиническая больница»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>District Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>03</day><month>01</month><year>2025</year></pub-date><volume>23</volume><issue>4</issue><fpage>22</fpage><lpage>29</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Малишевская T.Н., Киселева T.H., Рензяк Е.В., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Малишевская T.Н., Киселева T.H., Рензяк Е.В.</copyright-holder><copyright-holder xml:lang="en">Malishevskaya T.N., Kiseleva T.N., Renzyak E.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.microcirc.ru/jour/article/view/1372">https://www.microcirc.ru/jour/article/view/1372</self-uri><abstract><p>Первичная открытоугольная глаукома (ПОУГ) относится к нейродегенеративной патологии, приводящей к глаукомному поражению зрительного нерва с характерными дефектами полей зрения. Сосудистая теория патогенеза глаукомы рассматривает глаукомную оптическую нейропатию (ГОН) как результат изменений глазного кровотока. Ультразвуковое исследование (УЗИ) с оценкой глазного кровотока с помощью многофункциональных ультразвуковых диагностических приборов позволяет изучать параметры гемодинамики в основных ретробульбарных сосудах: глазной артерии (ГА), центральной артерии сетчатки (ЦАС) и задних коротких цилиарных артериях (ЗКЦА). В данном обзоре представлены результаты исследований глазного кровотока с использованием ультразвуковых допплеровских методов у пациентов с ПОУГ и глаукомой нормального давления (ГНД). Многие исследователи подчеркивают важную роль этих методов в диагностике и мониторинге прогрессирования глаукомного поражения зрительного нерва. В клинической практике для повышения информативности метода и получения достоверных результатов необходима стандартизация техники проведения допплерографии сосудов и разработка оптимального протокола исследования для наилучшей интерпретации полученных данных.</p></abstract><trans-abstract xml:lang="en"><p>Primary open-angle glaucoma (POAG) is a neurodegenerative disease causing glaucomatous damage of the optic nerve with characteristic visual field defects. Vascular theory of the glaucoma pathogenesis considers glaucomatous optic neuropathy (GON) as a result of changes in impaired ocular blood flow (OBF). Ultrasound examination with the assessment of OBF using multifunctional ultrasonic diagnostic devices is used for evaluation of hemodynamic parameters in the retrobulbar vessels: ophthalmic artery (OA), central retinal artery (CRA) and short posterior ciliary arteries (sPCA). This review presents the results of ocular blood flow studies using Doppler Ultrasound methods in patients with POAG and normal tension glaucoma (NTG). Many researchers have emphasized the important role of these methods in diagnosing and monitoring the optic nerve damage progression in glaucoma. In clinical practice, the standardization of the vascular Doppler Ultrasound technique and development of a suitable study protocol should improve the informativeness of the method and obtain reliable and reproducible results.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичная открытоугольная глаукома</kwd><kwd>глаукома нормального давления</kwd><kwd>ультразвуковое исследование</kwd><kwd>ультразвуковая допплерография</kwd><kwd>глазной кровоток</kwd><kwd>зрительный нерв</kwd><kwd>глаукомная оптическая нейропатия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary open-angle glaucoma</kwd><kwd>normal tension glaucoma</kwd><kwd>ultrasound examination</kwd><kwd>Doppler Ultrasound</kwd><kwd>ocular blood flow</kwd><kwd>optic nerve</kwd><kwd>glaucomatous optic neuropathy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Omodaka K, Kikawa T, Kabakura S, Tsuda S, Ninomiya T, Takahashi N, Pak K. 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