PSYCHOTHERAPY ROLE IN COMPLEX TREATMENT OF A PRIMARY OPEN ANGLE GLAYCOMA

At primary оpen angle glaucoma emotional infringements, signs social adaptation infringement are often enough defined. Stressful situations and negative emotions promote increase of intraocular pressure at patients open angle glaucoma. At inspection patients had raised level of uneasiness, emotional instability, social adaptation infringement. The depression, the suppressed reaction of anger, emotional stress can promote development of an angiospasm and blood-groove decrease in a brain, a retina and an optic nerve. Correcting the psychological status of patients it is possible to affect positively haemodynamics and hydrodynamics condition, to improve visual functions and to slow down progressing process of the glaucoma. The positive effect is marked after application psychopharmacotherapy in a combination to psychotropic pharmacotherapy. At patients it is noted reduction of the area of blind maculae, reduction of quantity of scotomas in the central field of vision, augmentation of a nasal stock of a field of vision is objectively registered. Efficiency of psychotherapy is marked mainly at an early stage of illness when there are no rough organic changes.