Specifics of the nervous system condition in glaucoma patients
We present a literature review of Russian and foreign studies on the specifics of the nervous system condition in glaucoma patients. The review demonstrates the possible influence of negative emotions, traumatic factors and stress state on the intraocular pressure (IOP) level and the pathogenesis of primary open-angle glaucoma. The article describes personality characteristics of glaucoma patients and especially their psychological response to the disease associated with loss of vision. We note most typical for these patients dysfunctional vegetative symptoms and astheno-depressive syndrome. Data on how cervical spine pathology can increase IOP level is cited. We gather research data confirming the positive effect of reducing sleep disorders in glaucoma patients on the course of the pathological process and the evidence of primary open-angle glaucoma similarity to such neurodegenerative diseases as Alzheimer's and Parkinson's. The study results confirm that glaucoma patients often suffer from officially recognized psychosomatic diseases. Consequently, psychotropic drug therapy, relaxation therapies and moderate physical activity may have a positive effect on the stabilization of glaucoma process. The article aims to convince practicing ophthalmologists that directing efforts on normalizing the state of higher nervous activity in glaucoma patients is pathogenetically justified and can maintain the desire of patients to comply with the doctor's recommendation.