National Journal glaucoma最新文献

{"title":"Biometric risk factors for acute glaucoma attack","authors":"O. V. Kolenko, E. L. Sorokin, Y. Pashentsev, A. Marchenko, N. V. Samokhvalov","doi":"10.53432/2078-4104-2022-21-2-3-9","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-3-9","url":null,"abstract":"PURPOSE. To assess the prognostic significance of the LAF coefficient (Lens thickness/Axial length factor) as a risk factor for acute glaucoma attack in anatomically short eyes of Europeans.METHODS. Group 1 consisted of 24 patients (48 eyes) with axial hyperopia. Group 2 included 24 patients (48 eyes) with primary closure of the anterior chamber angle. Group 3 — 17 patients (34 eyes) with initial stage of primary angleclosure glaucoma. Group 4 — 35 patients (35 eyes) with an acute attack of glaucoma. The studied groups did not differ in age (p=0.97) and gender (p=0.28). Lens thickness and axial length (AL) were measured by A-scan with calculation of the LAF coefficient.RESULTS. The LAF coefficient in group 4 (acute attack) was statistically significantly higher than in the other three groups. The best separation of groups 1 and 4 was seen in LAF coefficient compared to lens thickness and AL with sensitivity, specificity and the area under the curve (AUC) of 89%, 83% and 0.9, respectively. LAF coefficient values greater than 2.332 in patients with short AL are objectively associated with high risk of acute attack of glaucoma. The average value of the LAF coefficient (2.528) observed in group 4 (acute attack of glaucoma) significantly exceeds these parameters in works of other authors, which may be associated with morphometric structural features of the eyes of Europeans compared to the eyes of Asians.CONCLUSION. The LAF coefficient provides better separation of group 1 and 4 in comparison with lens thickness and, especially, axial length. LAF coefficient values greater than 2.332 in eyes with short AL objectively indicate high risk of acute attack of glaucoma, as evidenced by high sensitivity, specificity, and AUC.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131146194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and demographic data of patients operated on for primary open-angle glaucoma in Krasnoyarsk Krai in 2007–2021","authors":"V. V. Garkavenko, P. M. Balashova","doi":"10.53432/2078-4104-2022-21-2-19-25","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-19-25","url":null,"abstract":"PURPOSE. Comparative analysis of clinical and demographic characteristics of patients admitted for surgical treatment of primary open-angle glaucoma in the Krasnoyask Krai over the past 15 years.METHODS. The study analyzed 2426 medical histories of patients with primary open-angle glaucoma who underwent surgical antihypertensive intervention at the Krasnoyarsk Regional Ophthalmic Clinical Hospital named after Professor P.G. Makarov in 2007–2021.RESULTS. It was found that the proportion of men was significantly higher than women among patients who underwent surgical treatment of glaucoma. The mean age of operated patients was comparable across the entire period and ranged from 66.4 to 69.0 years. The proportion of patients with advanced stage of the disease increased during the study period from 50.7% to 75.5% (p<0.001). In 73–83% of cases, interventions were performed on patients with uncompensated, moderately elevated or high intraocular pressure.CONCLUSION. Considering the dominating proportion of eyes with advanced stage of the disease (50.7–75.5% of cases), as well as high initial levels of intraocular pressure, it can be assumed that in some cases such patients are still referred to surgical treatment late, although presently it can be associated with problems in planned care due to the ongoing pandemic.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129208341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-penetrating deep sclerectomy and implantation of collagen drainage in the surgical treatment of glaucoma","authors":"K. B. Pershin, N. F. Pashinova, A. Tsygankov, I. Kosova, G. M. Solovyova","doi":"10.53432/2078-4104-2022-21-2-42-50","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-42-50","url":null,"abstract":"PURPOSE. Analysis of the results of surgical treatment of glaucoma by non-penetrating deep sclerectomy (NPDS) combined with suprachoroidal implantation of collagen drainage.METHODS. This open prospective study included a total of 98 patients (104 eyes), 45 men and 53 women with primary open-angle glaucoma who were examined and operated on. All patients underwent non-penetrating deep sclerectomy with implantation of the \"Xenoplast\" drainage. Group I (n=72) consisted of patients without suprachoroidal drainage, and Group II (n=32) — patients who were implanted the drainage. Group I included 15 cases (20.8%) with stage I glaucoma, 17 (23.6%) — stage II, 38 (52.8%) — stage III and 2 (2.8%) — stage IV. Group II patients had stage I glaucoma in 8 cases (25%), stage II in 5 (15.6%), stage III in 17 (53.1%) and stage IV in 2 cases (6.3%). The mean age of study patients was 68.2±7.4 years.RESULTS. All early postoperative complications were transient. There were no significant differences in the frequency of complications between the two groups (p>0.05). In group I patients, Descemet’s goniopuncture was performed significantly more frequently than in group II (p<0.05). No complications were detected in the late postoperative period. Pronounced hypotensive effect wasobserved in both groups on the first day after the operation, IOP in group I was slightly lower and amounted to 15.5±2.3 mm Hg in comparison with 17.3±2.5 mm Hg in group II (p>0.05). Further, after 7 days and 1 month, we observed a slight increase of IOP in group I up to 17.2±2.0 mm Hg, while in Group II it remained practically unchanged. After 1 and 2 years of observation, a respective increase of the mean IOP to 18.5±2.8 and 17.8±2.6 mm Hg was registered in group I. Group II, on the contrary, showed a decrease in IOP in these periods to 16.8±1.9 and 16.2±1.8 mm Hg, respectively (differences between the groups were not statistically significant, p>0.05). In group I, the mean number of instillations used to achieve target IOP was 0.89±0.27; in group II it was 0.83±0.26 (p>0.05). The rate of achieving \"complete\" success after 6 months and 2 years of observation in groups I and II did not differ significantly and was 94.4% and 90.6%, 65.3% and 59.4%, respectively (p>0.05).CONCLUSION. This paper presents a comparative analysis of the results of non-penetrating deep sclerectomy and collagen drainage implantation depending on the involvement of the suprachoroidal space in the operation with 24 months follow-up. Both groups were comparable in the majority of studied parameters, except for the frequency of laser Descemet’s goniopuncture in the postoperative period (it was significantly lower in the group with suprachoroidal drainage). The proposed technique is effective and safe in the treatment of primary open-angle glaucoma.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133298828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imbalance of macro- and microelements in the scleral shell of the eye in various forms of glaucoma","authors":"L. Arutyunyan, E. Iomdina, Y. S. Morozova, S. Anisimova, S. Anisimov","doi":"10.53432/2078-4104-2022-21-2-11-18","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-11-18","url":null,"abstract":"PURPOSE. To conduct a comparative study of the balance of macro- and microelements in scleral biopsy samples taken from patients with various clinical forms of glaucoma.METHODS. The content of macro- and microelements was analyzed in scleral biopsy samples of 16 patients with primary open-angle glaucoma (POAG), 13 patients with normal tension glaucoma (NTG) and 15 patients with pseudoexfoliative glaucoma (PEG). The mean age of the patients was 79.5±2.5 years. For control, fragments of the sclera of 14 cadaveric eyes without a history of glaucoma were used. Concentration of macroelements — K, Mg, Ca, Fe — was determined by inductively coupled plasma atomic emission spectrometry, the level of microelements — Zn, Cu, Al, Mn — by inductively coupled plasma mass spectrometry.RESULTS. A statistically significant shift in the balance of Cu/Zn compared with controls was found in all forms of glaucoma: NTG (p=0.008), PEG (p=0.006), POAG (p=0.03); while no differences between NTG and POAG in this indicator were detected (p=0.609), with PEG the difference was significant (p=0.0001). The Cu/Fe ratio in the scleral samples of glaucomatous eyes also significantly differed from controls in both NTG (p=0.009) and PEG (p=0.006), as well as in POAG (p=0.006). This parameter in patients with POAG significantly differed from the corresponding parameter in the groups with NTG (p=0.0001) and PEG (p=0.016). A shift in the balance of Mn/Cu compared with controls was detected only in the sclera of patients with NTG (p=0.0064), there were no corresponding differences with controls in PEG (p=0.157) and POAG (p=0.773), but a significant difference was found between NTG and POAG groups (p=0.0001). The balance of Mn/Fe in comparison with the control group was disturbed in all forms of glaucoma: NTG (p=0.0066), PEG (p=0.00034), POAG (p=0.0027). At the same time, in patients with NTG and PEG, the balance of Mn/Fe differed significantly from this indicator in POAG (p=0.078 and p=0.0485, respectively). The most pronounced imbalance of Mg/Ca compared with controls was found in the sclera of patients with PEG (p=0.01) and POAG (p=0.0254).CONCLUSION. In all studied forms of glaucoma, disturbances in the ratios of Cu/Zn, Cu/Fe, Mn/Cu, Mn/Fe and Mg/Ca of varying severity in the sclera were revealed in comparison with the sclera of eyes without glaucoma. Differences in the indicated ratios between NTG, POAG and PEG have also been established, which may define the features in the pathogenesis and clinical course of these forms of glaucomatous lesions.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130853717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early diagnosis of pigmentary glaucoma with pseudo-normal pressure in a patient after radial keratotomy (case study)","authors":"R. A. Burya, O. V. Kolenko, A. A. Fil, E. L. Sorokin","doi":"10.53432/2078-4104-2022-21-2-27-33","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-27-33","url":null,"abstract":"The article describes a clinical case of diagnostics and diagnosis of pigmentary glaucoma with pseudo-normal pressure in a patient who had previously underwent radial keratotomy (RKT).This case is interesting in that the detection of pigmentary glaucoma can be significantly complicated by a falsely low level of intraocular pressure (IOP) in the myopic eye after previous RKT and secondary hypermetropic shift, combined with the difficulty of an in-depth ophthalmoscopic assessment of the state of the optic nerve head in myopia, as well as perimetric study due to keratotomy scars. Tonometric IOP readings in such eyes should be considered carefully and supplemented with examination of other characteristic clinical signs of pigmentary glaucoma. This would help establish the diagnosis early and timely prescribe pathogenetic treatment.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129335270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ahmed valve implant and its place in the surgical treatment of glaucoma","authors":"E. S. Oblovatskaya, V. Nikolaenko","doi":"10.53432/2078-4104-2022-21-2-35-41","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-2-35-41","url":null,"abstract":"PURPOSE. To determine the indications for Ahmed glaucoma valve implantation by analyzing the duration and regimen of hypotensive therapy, and the configuration of previous interventions.METHODS. Retrospective evaluation of the duration and intensity of therapeutic treatment, and the configuration of laser and surgical procedures in a group of 139 patients (153 interventions) who underwent Ahmed glaucoma valve implantation in 2009–2011, and another group of 270 patients (272 interventions) who were treated in 2019–2010.RESULTS. The average age of candidates for implantation of the Ahmed valve increased from 63 y.o. in 2009–2011 to 70 y.o. in 2019–2020. The treatment preceding Ahmed valve implantation had extended in duration from 8.8±1.4 to 11.2±1.1 years leading to an increase in cumulative preservative toxicity from 9 293.8±968.6 to 10 038.1±888.9 µg. The main classes of intraocular pressure (IOP)-lowering drugs were prostaglandin analogues (75.4% in 2009–2011 and 77.1% in 2019–2020), carbonic anhydrase inhibitors (75.4% and 82.6%), and beta-blockers (57.4% and 61.1% accordingly). Laser trabeculoplasty was performed in only 11.8% and 28.7% of cases, respectively. Hypotensive filtering operations preceded valve implantation in 63.4% (2009–2011) and 80.5% of cases (2019–2020), while in the rest of patients the installation of the Ahmed device was the first surgical procedure. Despite treatment, the rate of glaucoma progression to an advanced stage increased from 62.1% in 2009–2011 to 82.7% in 2019–2020.CONCLUSION. With increase in the duration of conservative management of glaucoma its progression continues, while the increased preservative toxicity reduces the effectiveness of conjunctival surgery. In conclusion, earlier switch to surgical methods of IOP normalization involving the use of the Ahmed valve is advisable not only in secondary, but also in primary open-angle glaucoma treated conser-vatively for a long (over 7–8 years) period.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122182424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problems of practical implementation of research results in ophthalmology","authors":"N. E. Fomin, A. Kuroyedov","doi":"10.53432/2078-4104-2022-21-1-79-88","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-1-79-88","url":null,"abstract":"The annually growing number of children and adults suffering from visual impairments necessitates new approaches to the diagnosis and treatment of eye pathologies. The most common pathologies leading to vision loss are cataract, age-related macular degeneration, glaucoma, diabetic retinopathy and high myopia. They result in pathological processes that lead to patient disability (temporary or permanent) and a decrease in the quality of live.This fact emphasizes the need to implement and introduce into the ophthalmological practice new approaches to the treatment of diseases using modern medications, new technical means and equipment. However, when conducting a practical study, a number of problems arise: the organizational problem (including the problem of finding and implementing new treatment methods), ethical and financial problems that impede the proper use of the obtained results despite their promise, and specifically the difficulties arising in the organization of studies (development of study design, including the choice of medical institution, selection of an appropriate group of patients, their preparation in order to implement the necessary continuity in therapy and staged observation at certain time intervals).","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125606729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of biomarkers in the anterior chamber aqueous humor and the vitreous body in patients with neovascular glaucoma and diabetes mellitus","authors":"V. A. Biletskaya, D. V. Lipatov, M. Frolov, V. Surguch, A. Frolov","doi":"10.53432/2078-4104-2022-21-1-15-21","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-1-15-21","url":null,"abstract":"PURPOSE. To study possible biomarkers of proliferative diabetic retinopathy complicated by neovascular glaucoma and hemophthalmos located in the aqueous humor of the anterior chamber of the eye and the vitreous body, and to evaluate their role in the pathogenesis of pathological neovascularization in diabetes mellitus.METHODS. Samples were taken from the anterior chamber aqueous humor of 7 patients with type 2 diabetes mellitus and operated neovascular glaucoma (Ahmed valve), as well as from the vitreous body of the same patients who underwent vitrectomy after drainage surgery due to long-term total hemophthalmos. The comparison group consisted of patients without diabetes mellitus, who also had aqueous humor samples taken from the anterior chamber of the eye and vitreous. Concentration of markers was assessed by multiplex immune analysis.RESULTS. A significant increase in the levels of selected markers relative to the control group (patients without diabetes mellitus) was found in the aqueous humor of the anterior chamber and the vitreous body. The concentration of some cytokines differed significantly in the experimental and control groups suggesting the possibility of their evaluation for early detection of a more severe course of diabetic retinopathy.CONCLUSION. The obtained results expand the knowledge about the pathogenesis of neovascular glaucoma and confirm the importance of further study of the immunological aspects of pathological neovascularization in diabetes mellitus. This allows us to take a fresh look at the role of biomarkers in the process and indicates their connection with the activation and support of the pathological chain of the process of new vessels formation.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129777393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the effectiveness of frequency doubling technology perimetry in the diagnosis of optic neuropathies","authors":"I. Simakova, I. A. Tikhonovskaya","doi":"10.53432/2078-4104-2022-21-1-23-35","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-1-23-35","url":null,"abstract":"PURPOSE. To compare the diagnostic effectiveness of two perimetric threshold strategies with frequency-doubling technology in patients with early primary open-angle glaucoma (POAG), the optical form of multiple sclerosis (MS) and papilledema in an open-label comparative clinical study.MATERIAL AND METHODS. The study involved 78 patients (105 eyes) with optic neuropathies (ON). The patients were divided into 3 groups depending on the etiology of optic neuropathy: the first group included 30 patients (46 eyes) with early POAG aged 30 to 65 years (54.9±1.3); the second group included 26 patients (26 eyes) diagnosed with the optic form of MS (an episode of retrobulbar optic neuritis in the medical history) aged 22 to 44 years (33.7±6.5); the third group consisted of 22 patients (33 eyes) aged from 18 to 66 years (35.7±14.9) with papilledema caused in the majority of cases by various brain tumors (25 eyes or 75.7%). The fourth (control) group consisted of 60 healthy individuals (60 eyes) aged 20 to 65 years, who were divided into 2 equal subgroups – younger (24.8±4.4) and older (56.4±3.9).Standard and non-standard perimetry was performed on all subjects during a comprehensive ophthalmic examination using the Humphrey 745i Visual Field Analyzer II (HFA II, «24-2» threshold strategy) (Germany-USA) and the author's own modification of Frequency Doubling Technology (FDT) Perimetry, in the form of 2 threshold strategies: the well-known «FDT-16» and the new «FDT-64».RESULTS. Both the «FDT-16» and the «FDT-64» threshold strategies were more effective in diagnosing glaucomatous optic neuropathy (GON), as confirmed by the higher sensitivity of their results to two criteria — the number of identified scotomas (n of scotomas n≥2), and the number of scotoma clusters in patients with POAG (88 and 100%; 95 and 83%, respectively) compared with those in patients with MS (61 and 76%; 85 and 54%, respectively) and papilledema (51 and 78%; 88 and 70%, respectively). The specificity of the «FDT-16» and «FDT-64» threshold strategies was significantly higher than the specificity of Humphrey perimetry (100, 80 and 63%, respectively).CONCLUSION. Both perimetric threshold strategies with frequency-doubling technology were found to be the most effective in detecting GON. This confirms that they are more sensitive in patients with early POAG when compared with the sensitivity in patients with MS and papilledema. The level of specificity of both FDT perimetry strategies far exceeds the level of specificity of Humphrey perimetry data, which indicates the advantage of FDT perimetry in separating healthy people from patients with ON, and not only of glaucoma genesis.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127216449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Additional professional education of medical doctors and clinical practice results (analytical online study)","authors":"A. Movsisyan, A. Kuroyedov, P. C. Zavadski, A. Brezhnev, E. S. Abdrakhmanova, V. V. Gorodnichy","doi":"10.53432/2078-4104-2022-21-1-62-70","DOIUrl":"https://doi.org/10.53432/2078-4104-2022-21-1-62-70","url":null,"abstract":"PURPOSE. To study the opinion of ophthalmologists about the usefulness of training programs presented on the continuing medical education (CME) web portal, their significance and impact on the process of obtaining knowledge in modern conditions, when the scene is dominated by hybrid forms of education.MATERIAL AND METHODS. This study was multicenter scientific and analytical selective cross-sectional observational in design and was conducted in the period from June to September 2021; it was based on the data obtained by an online survey among Russian ophthalmologists with varying records and/or work experience, employed at institutions of different forms of ownership. The prepared questionnaire included two groups of questions: general statistical data and special questions related to the topic \"glaucoma\".RESULTS. The study involved 1113 clinically practicing ophthalmologists (88%), with an average medical experience of 18 (0; 50) years, without medical category (35%), and have a polyclinic as their main place of work (77%). According to the survey results, 46% of respondents give a high assessment of the content of educational programs, 35% — negative. When choosing therapeutic and diagnostic tactics, doctors prefer their own clinical experience (36.4%), while the main source of knowledge today is the CME training courses (30.8%). According to respondents, the target level of intraocular pressure is achieved in clinical practice in around 71% of cases, which is facilitated by the comprehensive approach to treatment (47%). At the same time, according to the majority of specialists (71%), only 25% of patients achieve target intraocular pressure.CONCLUSION. Representativeness of the sample is beyond doubt. Registration on the CME web portal, in general, does not depend on work experience, attitude to educational organizations, or place of work. With increase in work experience, there is an increase in the number of positive responses characterizing the information completeness of the CME training courses (from 39.7% to 61.8%). CME programs in the field of glaucoma and comorbid ophthalmic pathologies require adaptation taking into account personal skill levels of ophthalmologists.","PeriodicalId":129515,"journal":{"name":"National Journal glaucoma","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132362455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}