Клінічна та профілактична медицина (Oct 2019)
PECULIARITIES OF RISK FACTORS FOR GLAUCOMA PROGRESSION AND THEIR IMPACT ON DEVELOPMENT OF THE DISEASE
Abstract
Objective: To identify factors of glaucoma progression andt heir impact on the development of late-stage glaucoma. Materials and methods. Analysis of literary sources, sociological and medical-statistic. As part of a special program running at three in-patient ophthalmology departments at district hospitals in Ivano-Frankivsk region. A representative group of 515 people with primary glaucoma, including 347 respondents from I-II (initial) stage of primary glaucoma and 168 patients of III-IV (later) stages of the disease have been surveyed. Results and discussion. It was proved that the chances of complicated course of glaucoma increase with age, in males, in patients with burdened heredity and concomitant cardiovascular diseases. Poor education, unemployment, loneliness, poor physical and social activity, harmful habits facilitate vision deterioration in glaucoma patients. Conclusions. It was reported that the development of late-stage glaucoma significantly decreases quality of life by deteriorating health, decreased daily activity, increased anxiety and depression, elevated sense of social insecurity. The chances of late-stage glaucoma development increase with insufficient coverage by ophthalmological screening and low compliance tot reatment. This indicates the potential to prevent complications of glaucoma at the level of primary healthcare.
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