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<article article-type="research-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">helmholtzeyeinstitute</journal-id><journal-title-group><journal-title xml:lang="ru">Российский офтальмологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Ophthalmological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0076</issn><issn pub-type="epub">2587-5760</issn><publisher><publisher-name>Real time Publishers</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21516/2072-0076-2021-14-3-113-119</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-730</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 ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Особенности структурно-биомеханических свойств и микроэлементного состава корнеосклеральной оболочки глаза при глаукоме нормального давления</article-title><trans-title-group xml:lang="en"><trans-title>Structural and biomechanical properties and trace elements composition of the corneoscleral eye shell in normal tension glaucoma</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Арутюнян</surname><given-names>Л. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Arutyunyan</surname><given-names>L. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p> д-р мед. наук, заведующая диагностическим отделением,  профессор кафедры офтальмологии </p><p>ул. Полины Осипенко, д. 10-1, Москва, 123007, Россия</p><p>ул. Баррикадная, д. 2/1, стр. 1, Москва, 125993, Россия</p></bio><bio xml:lang="en"><p> Dr. of Med. Sci., head of the diagnostic unit, professor of chair of ophthalmology </p><p>10-1 Poliny Osipenko st., Moscow, Russia</p><p> 2/1 Bldg. 1, Barrikadnaya St., Moscow, 125993, Russia</p></bio><email xlink:type="simple">lusleve@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иомдина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Iomdina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>  д-р биол. наук, профессор, главный научный сотрудник отдела патологии рефракции, бинокулярного зрения и офтальмоэргономики </p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062, Россия</p></bio><bio xml:lang="en"><p> Dr. of Biol. Sci., professor, principal researcher, department of refraction pathology, binocular vision and ophthalmoergonomics </p><p>14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062, Russia</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозова</surname><given-names>Ю. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozova</surname><given-names>Yu. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> врач-офтальмолог, аспирант кафедры офтальмологии </p><p>ул. Полины Осипенко, д. 10-1, Москва, 123007, Россия</p><p>ул. Баррикадная, д. 2/1, стр. 1, Москва, 125993, Россия</p></bio><bio xml:lang="en"><p> ophthalmologist, PhD student of chair of ophthalmology </p><p>10-1 Poliny Osipenko st., Moscow, Russia</p><p> 2/1 Bldg. 1, Barrikadnaya St., Moscow, 125993, Russia</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Анисимов</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Anisimov</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p> д-р мед. наук, профессор, научный директор, профессор кафедры офтальмологии </p><p>ул. Полины Осипенко, д. 10-1, Москва, 123007, Россия</p><p> ул. Делегатская, д. 20, стр. 1, Москва, 127473, Россия</p></bio><bio xml:lang="en"><p> Dr. of Med. Sci., professor, scientific director, professor of chair ophthalmology </p><p>10-1 Poliny Osipenko st., Moscow, Russia</p><p>20, bld. 1, Delegatskaya str., Moscow, 127473, Russia</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Анисимова</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Anisimova</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p> д-р мед. наук, профессор, директор </p><p>ул. Полины Осипенко, д. 10-1, Москва, 123007, Россия</p></bio><bio xml:lang="en"><p> Dr. of Med. Sci., professor, director </p><p>10-1 Poliny Osipenko st., Moscow, Russia</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ООО «Глазной центр "Восток-Прозрение"»;&#13;
ФБГОУ ДПО РМАНПО Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Eye center “East Sight Recovery” LLC;&#13;
Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ООО «Глазной центр "Восток-Прозрение"»;&#13;
ФГБОУ ВО МГМСУ им. А.И. Евдокимова Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Eye center “East Sight Recovery” LLC;&#13;
Moscow State University of Medicine and Dentistry named after A.I. Evdokimov</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ООО «Глазной центр "Восток-Прозрение"»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Eye center “East Sight Recovery” LLC</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>14</day><month>09</month><year>2021</year></pub-date><volume>14</volume><issue>3</issue><fpage>113</fpage><lpage>119</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Арутюнян Л.Л., Иомдина Е.Н., Морозова Ю.С., Анисимов С.И., Анисимова С.Ю., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Арутюнян Л.Л., Иомдина Е.Н., Морозова Ю.С., Анисимов С.И., Анисимова С.Ю.</copyright-holder><copyright-holder xml:lang="en">Arutyunyan L.L., Iomdina E.N., Morozova Y.S., Anisimov S.I., Anisimova S.Y.</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://roj.igb.ru/jour/article/view/730">https://roj.igb.ru/jour/article/view/730</self-uri><abstract><p> Представлен анализ результатов сравнительных исследований структурно–биомеханических особенностей  корнеосклеральной оболочки глаза при различных  клинических формах глаукомы. Рассмотрено возможное  влияние системного и местного дисбаланса микроэлементов, регулирующих коллагенообразование и  формирование поперечных связей в соединительнотканных структурах склеры, а также гидродинамику внутриглазной  жидкости, на уровень внутриглазного давления и тем самым  на характер развития глаукомного поражения при  глаукоме нормального давления. Анализ современной  литературы свидетельствует о перспективности дальнейшего развития исследований в этом направлении. </p></abstract><trans-abstract xml:lang="en"><p>The results of comparative studies of the structural and biomechanical features of the corneoscleral eye shell in various clinical forms of glaucoma are presented. The article discusses how the systemic and local imbalance of trace elements that regulate collagen biosynthesis, the formation of cross-links in the connective tissue structures of the sclera, and the hydrodynamics of the intraocular fluid, affect the intraocular pressure level, and thereby the character of the development of glaucomatous lesions in normal tension glaucoma. Modern literature is shown to indicate the prospects for further research in this direction.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>первичная открытоугольная глаукома</kwd><kwd>глаукома нормального давления</kwd><kwd>биомеханика корнеосклеральной оболочки глаза</kwd><kwd>баланс микроэлементов</kwd></kwd-group><kwd-group xml:lang="en"><kwd>primary open angle glaucoma</kwd><kwd>normotensive glaucoma</kwd><kwd>corneoscleral shell biomechanics</kwd><kwd>trace elements balance</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">Нестеров А.П., Алябьева Ж.Ю., Лаврентьев А.В. Глаукома нормального давления: гипотеза патогенеза. Вестник офтальмологии. 2003; 2: 3–6.</mixed-citation><mixed-citation xml:lang="en">Nesterov A.P., Aliab’eva Zh.Iu., Lavrent’ev A.V. Normal pressure glaucoma: a hypothesis of pathogenesis. 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