[Ocular symptoms in multiple sclerosis].
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Biomedical subjects
Publications and source records attributed to E V Romanova.
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Optic neuropathy is a serious complication of endocrine ophthalmopathy (EOP). The morphological characteristics of the optic nerve (provided by a Heidelberg, HRT II retinotomograph) were compared with the functional impairments of various canals of light, color, and contrast sensitivities (detected by an Offon programme complex, MBN, Moscow). There were decreases in contrast and color sensitivities just at the early stages of the disease and deteriorated functions of contract and color sensitivity canals as optic neuropathy progressed. The HRT II retinotomograph has shown a significant change in the thickness of optic nerve fibers, the area of the optic disk (OD), and the volume of the neuroretinal ring, which corresponds to the magnitude of clinical manifestations and the severity of OD lesion. The first retinal changes appear long before optic nerve compression at the orbital apex (orbital apex syndrome), which are caused by ischemic and hypoxic processes due to orbital soft tissue edema. The most sensitive test in detecting the latent stage of optic neuropathy in EOP is a color and contrast sensitivity topography test. In EOP, the morphological optic nerve changes correlate with functional impairments in different canals of the visual system, reflecting the stage of the disease.
The effect of thiamine-bromide (5-7 mg/kg, intravenously) on the cerebral blood flow circulation rate; total arterial pressure, oxygen tension in the brain tissues (measured polarographically) and pressure in the venous vessels of the brain was investigated on anesthetized cats with controlled respiration. In patients with hypertensive disease (essential hypertension) the action of the agent (1 ml of a 6% solution, intramuscularly) on the rheoencephalographic readings and overall arterial pressure was studied. Thiamine-bromide is shown to lower the tonicity of intra- and extracranial vessels and to increase pulsed variations in the volume of blood filling of the cranial vessels. The hypotensive effect of the drug is pronounced but mildly. The oxygen tension in cerebral vessels depended mainly on changes in the cerebral circulation rate.