GENDER AND AGE FEATURES OF GLAUCOMA

Authors

  • O. V. Makarenko SI «Dnepropetrovsk medical academy MHC of Ukraine»,
  • O. V. Kryvoviaz Vinnitsa national medical university,
  • S. O. Kryvoviaz Vinnitsa national medical university,

DOI:

https://doi.org/10.14739/2310-1210.2014.1.23671

Keywords:

glaucoma, men, women, ontogenesis

Abstract

Today, the definition “glaucoma” combines a number of eye pathologies that lead to irreversible blindness, and therefore is difficult disabling disease. Glaucoma occurs in people of working age, so this problem is not only medical, but also social, because it causes disability in substantial economic costs not only for individual patients, but also for the whole country – patients become unable to work. Gender features of glaucoma are also contradictory. In European literature the basic idea is that men are more likely to suffer from glaucoma than women. Such studies have not been conducted in the Podillya region of Ukraine, that makes impossible to design a reliable global data to estimate the prevalence of glaucoma in different age groups for persons living in Vinnitsa region.

Therefore, the aim of the study was a retrospective analysis of medical records of patients in Eye Microsurgery Department of Vinnitsa Regional Clinical Hospital for the period 2008-2012 years for determining the gender and age characteristics.

Materials and methods

1418 patients with primary open-angle glaucoma (841 men and 577 women) aged 14 to 92 years (mean age 67,12 ± 7,64), which were treated in the Eye Microsurgery Department, took part in the study. For the purpose of the study they were divided into two groups: I – male patients with glaucoma, II – female patients with glaucoma. Each group was divided into 7 subgroups according to the ontogenesis scheme: A – teens, B – youth, C – I adulthood age, D – II adulthood age, E – elderly age, F – senily age and G – centenarians. Thus was allocated 12 research groups.

Results

The structure of the incidence of glaucoma is 59.31% in men and 40.69% in women.

Incidence of glaucoma is highest in the IE group and is 34.98%. The group IIE incidence is lower – 35.32%. In the group D the incidence of glaucoma among men and women was very different (13.89% and 2.89%, respectively). It should also be noted the high incidence of glaucoma in elderly patients: 9.31% – IF group and 1.92 % – IIF group.

The results of the analysis suggest that the incidence of glaucoma among people of working age is lower compared to the non-working population. The proportion of male patients of working age is 25.20%, which is almost in 3 times higher than in women of the same age group (8.32%).

Structuring by gender also showed that the second place have male patients with glaucoma in a subgroup D (II adulthood age), while for women it is seen more often in the older age (subgroup F).

Conclusions

1. Analysis of the gender and age structure of patients with glaucoma in the Vinnitsa Regional Clinical Hospital in 2008-2012 year was performed.

2. The results allow to predict the future number of newly diagnosed patients with glaucoma among different age groups of both sexes in Vinnytsia region.

3. Comparison of newly diagnosed glaucoma patients with predicted values will help to assess and subsequently adjust of the work of ophthalmological service area.

4. The data obtained from the study allows to calculate funding, that should be involved in the budget of health care institutions and social insurance funds to pay for medical treatment of disabled persons due to glaucoma.

References

Global Initiative for the Elimination of Avoidable Blindness: action plan 2006-2011. – [Електронний ресурс]. – Режим доступу: http://www.who.int/blindness/Vision2020_report.pdf.

Волков В.В. Глаукома открытоугольная / В.В. Волков. – М.: МИА, 2008. – 352 с.

Нестеров А.П. Глаукома / А.П. Нестеров. – М.: Медицинское информационное агентство, 2008. – 360 с.

Damji K.F. Shields’ Textbook of Glaucoma / K.F. Damji, S. Freedman, S.E. Moroi. – [6-th ed.]. – Lippincott Williams & Wilkins, 2010. – 656 p.

Национальное руководство по глаукоме (путеводитель) для поликлинических врачей / [Е.А. Егоров, Ю.С. Астахов, А.Г. Щуко]. – [1–е изд.]. – М., 2008. – 216 c.

Terminology and guidelines for glaucoma. – European Glaucoma Society, 2008. – 184 p.

Дуглас Дж. Р. Глаукома / Дж. Р. Дуглас. – М.: ГЭОТАР-Медиа, 2010. – 472 с.

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How to Cite

1.
Makarenko OV, Kryvoviaz OV, Kryvoviaz SO. GENDER AND AGE FEATURES OF GLAUCOMA. Zaporozhye Medical Journal [Internet]. 2014Apr.22 [cited 2024Nov.14];16(1). Available from: http://zmj.zsmu.edu.ua/article/view/23671

Issue

No. 1 (2014): Zaporozhye medical journal

Section

Original research

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