年龄相关性黄斑变性和原发性青光眼合并病程的流行病学和临床功能方面

Q4 Medicine

Oftalmologicheskii zhurnal Pub Date : 2023-06-30 DOI:10.31288/oftalmolzh2023338

D. Tuychibaeva

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引用次数: 0

摘要

关联年龄相关性黄斑变性（AMD）和青光眼是目前发达国家不可逆视力丧失的主要原因。意图研究年龄相关性黄斑变性和原发性青光眼合并病程的流行病学和临床功能方面，并评估这些患者的生活质量。材料和方法。分析了2011-2022年期间在塔什干医学院多学科诊所咨询综合诊所观察到的5 000名35岁以上患者的门诊记录。所有患者被分为三组：第1组-青光眼，第2组-AMD，第3组-青光眼+AMD。结果。对5000名35岁以上患者的门诊记录进行回顾性分析，发现30.3%的病例存在青光眼，37.94%的病例存在AMD，20.3%的病例存在合并AMD，74%的病例诊断为干燥型，12%诊断为地域性萎缩，14%诊断为湿润型。然而，它需要仔细监测视网膜和视神经视觉功能和结构变化的动态，并及时纠正治疗。结论病变具有神经退行性的综合病程不仅会导致视觉功能下降，还会导致认知功能下降，严重影响老年患者的生活质量及其社会适应能力。

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EPIDEMIOLOGICAL AND CLINICAL-FUNCTIONAL ASPECTS OF THE COMBINED COURSE OF AGE-RELATED MACULAR DEGENERATION AND PRIMARY GLAUCOMA

Relevance. Age-related macular degeneration (AMD) and glaucoma are currently the main causes of irreversible vision loss in developed countries. Purpose. To study the epidemiological and clinical-functional aspects of the combined course of age-related macular degeneration and primary glaucoma and to assess the quality of life of these patients. Material and Methods. The analysis of 5,000 outpatient records of patients over 35 years of age who were observed in the consultative polyclinic of the multidisciplinary clinic of the Tashkent Medical Academy in the period 2011-2022 was carried out. All patients were divided into three groups: group 1 - glaucoma, group 2 - AMD, group 3 - glaucoma + AMD. Results. A retrospective analysis of 5,000 outpatient records of patients older than 35 years revealed the presence of glaucoma in 30.3% of cases, AMD - in 37.94%, their combination - in 20.3%. At the same time, in the structure of AMD, signs of the dry form of the disease were diagnosed in 74% of cases, geographical atrophy - in 12% and wet form - in 14%. However, it requires careful monitoring of the dynamics of visual-functional and structural changes in the retina and optic nerve, as well as timely correction of therapy. Conclusion. The combined course of diseases having a neurodegenerative nature of the lesion leads to a decrease in not only visual, but also cognitive functions, significantly affects the quality of life of patients of the older age group and their adaptation in society.

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来源期刊

Oftalmologicheskii zhurnal Medicine-Ophthalmology

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Journal of Ophthalmology (Ukraine) contains articles on eye diseases diagnosis and treatment, eye care, eye diseases prevention, history of ophthalmology, organization of eye care to population, technical equipment problems. It is committed to publishing original scientific researches and review articles on theory and practice of Ukrainian and foreign ophthalmology, cases, reviews, inventions, historical and medical reviews. It contains peer-reviews of books on ophthalmology, articles on activity of ophthalmologic societies, congresses and conferences chronicles. Journal is designed to ophthalmologists and scientific researchers in the field of vision physiology and eye diseases clinic.