RESULTS OF THE FIRST YEAR WORK ACCORDING TO THE RUSSIAN FEDERATION MINISTRY OF HEALTH ORDER №29n DATED 28.01.2021 OF: AN OPHTHALMOLOGIST'S VIEW

Abstract

For 10 years, preliminary and periodic medical examinations (PME) were carried out in accordance to order 302n. On April 1, 2021, Order 29n came into force. This order entailed a number of changes in approach to medical contraindications determination, from the side of vision organ including. The changes affected, first of all, work at height and drivers. Purpose of the study: a comparative analysis of PME results and structure of identified contraindications from vision organ among workers who underwent a medical examination in 2020 and 2021 in the consultative polyclinic department (CPD) of FSBSI “RIOH” clinic. Methods: electronic outpatient cards in the MIS Medialog of CPD patients who underwent PME in 2020 and 2021 were analyzed. Results: Among the total number of visits to ophthalmologists in 2020, contraindications were detected in 1.65% of cases, in 2021 - 0.91% only. In the structure of the types of work to which contraindications from the organ of vision are revealed, work at height was leading: in 2020 - 51.95% (133 people), in 2021 - 71.32% (194 people). The most numerous group of vision organ pathology were refractive errors. Conclusions: Legislative changes made not only allowed to reduce the number of identified contraindications of visual organ, thereby expanding employment opportunities and preserving human resources, but also created conditions for early detection of glaucoma.