Making a diagnosis of glaucoma at the present time
DOI: 10.32364/2311-7729-2023-23-1-47-53
A.B. Movsisyan1,2, A.V. Kuroyedov1,3
1Pirogov Russian National Research Medical University, Moscow, Russian Federation
2Hospital for War Veterans No. 2, Moscow, Russian Federation
3P.V. Mandryka Military Clinical Hospital, Moscow, Russian Federation
Thus far, practicing physicians perform glaucoma screening based on Graefe’s triad of symptoms. Considering the predicted increase in glaucoma incidence and the current trend in diagnosis verification at the time when patients already demonstrate significant changes in visual function, the issue on the need to revise these "markers" is raised. Summarizing the available modern diagnostic capabilities for glaucoma screening, it is fair to say that nowadays none of the diagnostic methods can "work alone". Only monitoring of glaucoma patients will help to determine accurately the presence or absence of glaucoma changes. Thus, the current standard for glaucoma detection includes several diagnostic methods. To receive reliable data on the disease prevalence, its diagnosis should be established in a timely manner. However, there are still difficulties faced in diagnosing glaucoma. This problem can be solved through the improvement of the available diagnostic tools and/or the introduction of novel methods of patient assessment. The advent of artificial intelligence (AI) technology, capable of learning and conducting in-depth analysis, has enabled the development of this approach. At the same time, the question of optimizing its application for practical medicine remains open.
Keywords: primary open-angle glaucoma, glaucoma screening, glaucoma diagnosing, neural networks.
For citation: Movsisyan A.B., Kuroyedov A.V. Making a diagnosis of glaucoma at the present time. Russian Journal of Clinical Ophthalmology. 2023;23(1):47–53 (in Russ.). DOI: 10.32364/2311-7729-2023-23-1-47-53.
About the authors:
Anna B. Movsisyan — assistant of the Acad. A.P. Nesterov Department of Ophthalmology of the Faculty of Medicine, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117997, Russian Federation; ophthalmologist of the Ophthalmology Department, Hospital for War Veterans No. 2; 168, Volgogradskiy av., Moscow, 109472, Russian Federation; ORCID iD 0000-0001-8233-0385.
Aleksandr V. Kuroyedov — Dr. Sc. (Med.), Professor of the Department of Ophthalmology, Pirogov Russian National Research Medical University; 1, Ostrovityanov str., Moscow, 117437, Russian Federation; Head of the Ophthalmological Center (with a day hospital), P.V. Mandryka Military Clinical Hospital; 8A, Bolshaya Olenya str., Moscow, 107014, Russian Federation; ORCID iD 0000-0001-9606-0566.
Contact information: Anna B. Movsisyan, e-mail: anna.movs@inbox.ru.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interests.
Received 09.11.2021.
Revised 02.12.2021.
Accepted 27.12.2021.
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