- Written by Super User
- Category: #1 (01) 2015
- Published: 11 December 2015
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Avdeev R.V.1, Alexandrov A.S.2, Bakunina N.A.3, Basinsky A.S.4, Blyum E.A.5, Brezhnev A.Yu.5, Volkov E.N.7, Gazizova I.R.8, Galimova A.B.9, Gaponko O.V.10, Garkavenko V.V.11, Getmanova A.M.12, Gorodnichy V.V.2, Gorshkova M.S.13, Gusarevitch A.A.14, Diordiychuk S.V.2, Dorofeev D.A.15, Zhavoronkov S.A.13, Zavadsky P.Ch.16, Zvereva O.G.17, Karimov U.R.18, Kulik A.V.19, Kuroyedov A.V.2, 20, Lanin S.N.21, Lovpache Dzh.N.22, Loskutov I.A.23, Molchanova E.V.24, Ogorodnikova V.Yu.2, Onufrichuk O.N.25, Petrov S.Yu.26, Rozhko Yu.I.27, Sidenko T.A.28
1State Medical Academy, Voronezh, Russia;
2Mandryka Medicine Clinical Center, Moscow, Russia;
3Pirogov City Clinical Hospital, Moscow, Russia;
4Prof. Basynsky Ophthalmology Center, Orel, Russia;
5Ophthalmology Hospital, Shymkent, Kazakhstan;
6State Medical University, Kursk, Russia;
7Bayandin Ophthalmology Hospital, Murmansk, Russia;
8State Medical University, Ufa, Russia;
9Russian Eye and Plastic Surgery Center, Ufa, Russia;
10Region Clinical Hospital №2, Vladivostok, Russia;
11Voyno-Yasenetsky State Medical University, Krasnoyarsk, Russia;
12Regional Eye Hospital, Bryansk, Russia;
13Filatov City Clinical Hospital, Moscow, Russia;
14Regional Hospital №1, Novosibirsk, Russia;
15Ophthalmology Hospital №3, Chelyabinsk, Russia;
16State Medical University, Grodno, Belarus;
17Region Clinical Ophthalmology Hospital, Kazan, Russia;
18Region Ophthalmology Hospital, Gulistan, Uzbekistan;
19«Meditsina» Medical Center, Moscow, Russia;
20Russian State Medical University, Moscow, Russia;
21Makarov Ophthalmology Clinical Hospital, Krasnoyarsk, Russia;
22Helmgoltz State Ophthalmology Institute, Moscow, Russia;
23Semashko State Ophthalmology Hospital,Moscow, Russia;
24State Medical Academy, Omsk, Russia;
25City Government Hospital,Kogalyum, Russia;
26Scientific State Ophthalmology Institute, Moscow, Russia;
27State Hospital, Gomel, Belarus;
28City Government Hospital №5, Perm, Russia
Summary. Objective is to find out the expected duration of the disease and age of patients with different primary open angle glaucoma changes. The study protocol included data from 120 patients (50 males (41.7 %), 70 females (58.3 %); 189 eyes; 102 right eyes; 87 left eyes). The first study group (28 patients, 44 eyes) comprised patients with suspected glaucoma. The second group (53 patients, 84 eyes) consisted of patients with early glaucoma changes. The third group (21 patients, 33 eyes) included patients with advanced glaucoma changes. And the forth group (18 patients, 28 eyes) comprised patients with terminal glaucoma. Mean patients age at the diagnosis was 61.6 (58.4; 66.9) years. It was 66.9 (63.4; 72.8) years at the endpoint visit in 2013. In all cases the diagnosis was made according to the differential diagnosis system and was proved by special diagnostic techniques. Database included data from 3 qualified examinations comprised of tonometry and static automatic perimetry results. The average expected patients age at the moment of blindness was 75.1 years. The event occurrence was limited by a period of 6.1 years. Mean patients age at the time of possible glaucoma development was 59.58 (56.14; 64.36) years. The disease itself could have developed within −3.24 (−5.38; −1.2) years prior to the diagnosis.
Glaucoma diagnostic research should be focused on the age group of 55–60 years. The degree of IOP-lowering in patients with advanced glaucoma changes does not suit the Russian glaucoma society recommendations, which is a criterion of the disease progression.
Keywords: glaucoma, progression, prediction, IOP-level, static automatic perimetry.