FEATURES AND RESULTS OF GERIATRIC EXAMINATION OF ELDERLY PATIENTS WITH VISUAL IMPAIRMENT

Старение организма сопровождается истощением физиологического резерва различных органов и систем, что приводит к развитию гериатрических синдромов в пожилом и старческом возрасте. Однако гериатрический статус пациентов с офтальмологическими заболеваниями изучен недостаточно. Цель исследования проведение гериатрического обследования пациентов с офтальмологическими заболеваниями и выявление особенностей гериатрического статуса больных. Гериатрические синдромы изучены нами у 115 больных старческого возраста с первичной закрытоугольной глаукомой и 118 больных того же возраста с катарактой. Установлено, что гериатрический статус пациентов с первичной закрытоугольной глаукомой ухудшается существеннее, чем при катаракте. Это обусловлено нарушениями ходьбы и устойчивости умеренной степени, синдромом гипомобильности, психологическим состоянием удовлетворительного и плохо качества, наличием нолипрагмазии. Установленные особенности гериатрического статуса рекомендуется использовать при организации специализированной офтальмологической и гериатрической помощи данным пациентам Aging of the body is accompanied by the depletion of the physiological reserve of various organs and systems, which leads to the development of geriatric syndromes in the elderly and senile age. However, the geriatric status of patients with ophthalmic diseases has not been sufficiently studied. The aim of the study was to conduct a geriatric examination of patients with ophthalmological diseases and to identify the features of the geriatric status of patients. Geriatric syndromes were studied in 115 elderly patients with primary angle-closure glaucoma and 118 patients of the same age with cataracts. It was found that the geriatric status of patients with primary angle-closure glaucoma deteriorates significantly more than in cataracts. This is due to moderate walking and stability disorders, hypomobility syndrome, a psychological state of satisfactory and poor quality, and the presence of nolipragmasia. The established features of the geriatric status are recommended for use in the organization of specialized ophthalmological and geriatric care for these patients

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Features Local Interlacing Status of Elderly Patients with Primary Angle-Closure Glaucoma

Ophthalmology in Russia ◽

10.18008/1816-5095-2021-1-123-128 ◽

2021 ◽

Vol 18 (1) ◽

pp. 123-128

Author(s):

A. M. Chukhraev ◽

N. M. Agarkov ◽

K. I. Proschayev ◽

A. N. Ilnitskiy ◽

A. S. Kulabukhov ◽

...

Keyword(s):

Elderly Patients ◽

Local Level ◽

The Elderly ◽

Angle Closure Glaucoma ◽

Angle Closure ◽

Control Group ◽

Ophthalmological Examination ◽

Primary Angle Closure ◽

Primary Angle Closure Glaucoma ◽

Anti Inflammatory

An increased share of the elderly in the structure of modern society, along with other causes and risk factors, is accompanied by the growing the incidence of glaucoma. According to international research in the world by 2020 it is predicted that glaucoma patients will increase to 80 million. Among the elderly, glaucoma is a common pathology, the development of which is associated with local disorders of the interleukin profile. However, the features of the latter in patients with primary closed-angle glaucoma in the elderly have not been studied. The purpose of this work is to identify the features and informativeness of local interleukin profile indicators in elderly patients with primary angle — closure glaucoma. The study included 58 patients with primary angle-closure glaucoma of stage II, who made up the main group, aged 60–74 years with a median of 70.1 ± 2.5 years. All patients underwent a comprehensive ophthalmological examination. The diagnosis of primary angle-closure glaucoma was established in accordance with the requirements of the National glaucoma guidelines. The control group consisted of 27 elderly people aged 60 to 74 years with a median of 68.7 ± 2.1 years without signs and manifestations of primary angle-closure glaucoma, who also underwent a comprehensive ophthalmological examination. Changes in proinflammatory interleukins at the local level in the development of primary angle-closure glaucoma are accompanied by a significant increase in their content in all cases. On the contrary, changes in anti-inflammatory interleukins in the lacrimal fluid in patients with the considered ophthalmological pathology are characterized by a significant inhibition of their production. IL-10 are characterized by the most significant decrease at the local level and it is less related to IL-4. Local interlacing profile of patients with primary angle-closure glaucoma elderly are characterized by increased level in the tear fluid of anti-inflammatory IL-2, IL-17, IL-8 and lower production of anti-inflammatory IL-10. These local interleukins have the greatest informative value, which is of scientific and practical significance for identifying new mechanisms of development, diagnostics and justification of selective immunotropic therapy of the pathology in question.

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Case Report: The efficacy of early phacoemulsification in the intraocular pressure control in primary angle closure glaucoma associated with cataract in a young female

F1000Research ◽

10.12688/f1000research.23867.2 ◽

2021 ◽

Vol 9 ◽

pp. 372

Author(s):

Carmen-Ecaterina Leferman ◽

Madalina Cazacut ◽

Alin Dumitru Ciubotaru

Keyword(s):

Anterior Segment ◽

Anterior Chamber Depth ◽

The Elderly ◽

Angle Closure Glaucoma ◽

Angle Closure ◽

Caucasian Woman ◽

Blurred Vision ◽

Primary Angle Closure ◽

Primary Angle Closure Glaucoma ◽

Initial Symptoms

Glaucoma is a leading cause of irreversible blindness worldwide. Among different types of glaucoma, irreversible bilateral visual impairment is more common in primary angle closure glaucoma (PACG) patients. PACG and cataract often coexist and are both more prevalent among the elderly population, being rare in children and young adults. Here, we discuss the case of a 39-year-old Caucasian woman with unilateral PACG associated with cataract. The patient presented with a several-day history of left sided headache, decreased and blurred vision as well as pain and redness of the left eye (LE). She reported similar episodes in the previous year. Visual acuity (VA) of the LE was limited to counting fingers and intra-ocular pressure (IOP) of the LE was 42 mmHg. Anterior segment examination of the LE revealed: edematous cornea, a peripheral anterior chamber depth corresponding to Van Herick’s grade 0, mid-dilated pupil and lens opacities with visible glaukomflecken. Gonioscopic evaluation revealed iridotrabecular contact for 360º, no visible angle structures and a flat–mild convex iris contour. Spectral domain optical coherence tomography suggested only a thinning of neuro-retinal rim at the lower pole. Following treatment of the initial symptoms, phacoemulsification with intra-ocular lens implant was performed. IOP improved and no IOP-lowering medication was required. The patient was monitored for VA, IOP, field of vision changes, and optic disc evaluation every six months for 2 years and no glaucomatous change occurred. The patient also denied ocular symptoms during this period. This case supports the effectiveness of early phacoemulsification in the IOP control in patients with PACG.

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