The psychology of a glaucoma patient

Purpose: to evaluate the safety and convenience of self-using the intraocular pressure tonometer TVGD-02 at home with no participation of medical professionals. Material and methods. 42 people formed 30 pairs: a patient and an assistant. In 9 pairs, each person played both roles. The participants practiced the technique of transpalpebral measurement of intraocular pressure (IOP) at home, and, as assistants, measured IOP of their partner patients. All subjects were asked to fill in a questionnaire to evaluate the convenience and safety of the tonometer use by a 5-point system. Results. The assistant users, aged 22 to 83 (ave. 59.68 ± 17.20 years) had diverse educational levels. Of the patient users, aged 22 to 82 (ave. 60.64 ± 17.10 years), 82.14 % had ocular pathology, while 35.7 % had glaucoma with concomitant pathology. In 100 % of cases, the participants required no professional assistance to properly prepare the tonometer for operation and perform IOP measurement. The accuracy and reproducibility of measurement results significantly increased with the assistants’ gaining skills of operating the tonometer. On the 1st day, the data obtained in a series of measurements scattered for the control block within 2.07 ± 1.70 [7; 0] mm Hg, while the measured IOP of the patient scattered within 2.89 ± 19.10 [8; 0]. In contrast, on the 5th day, measurement accuracy increased significantly and the scatter dropped to 1.21 ± 0.72 [2; 0] and 0.85 ± 0.69 [2; 0] mm Hg, respectively. The users rated the ease of using the device at different staged from 4.21 ± 0.67 to 5.0 ± 0.0 points. Conclusion. Assisted transpalpebral tonometry with the TVGD-02 tonometer ensures an adequate assessment of IOP in patients at home. The principles of device operation and the technique can be learned and skills can be gained without the participation of medical personnel.

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Prospects of using the TVGD-02 tonometer for assisted monitoring of intraocular pressure at home

Филиппова

Бессмертный

Кузин³

et al. 2021

Rossijskij oftalʹmologičeskij žurnal

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Fundamentals of a personalized approach at different stages of newly diagnosed glaucoma

Zubasheva,

Chernyakova,

Baryshnikova

et al. 2024

Rossijskij oftalʹmologičeskij žurnal

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The review is focused on the adherence of glaucoma patients to the immediate start of treatment after the condition has been diagnosed. A personalized strategy, which includes the assessment of the patient's clinical and socio-economic status and the use of medications with proven efficacy, contributes to the formation of long-term adherence to therapy. In particular, the strategy combines preventive and diagnostic measures depending on the patient’s individual characteristics and involves their direct participation. Over 250 risk factors are known to reduce a patient’s adherence to treatment, whereas insufficient adherence can itself be considered as a risk factor for glaucoma progression. The asymptomatic course of the disease or the lack of a noticeable effect of drops instilled often cause the regimen to be violated, whilst the long-term therapy requires determination and self-control of the patient. Combined measures to improve the adherence are based on the specific needs of the patients and are consistent with their lifestyle. As a rule, the patients need special instruction, good means of communication with the doctor, simplified treatment regimens, and an adequate interaction with the public health facilities. Importantly, the therapy start depends not only on the level of intraocular pressure, but also on the stage of the glaucomatous process at which it was first diagnosed.

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Cognitive impairment in glaucoma and the possibilities of its correction

Korelina,

Semizorova,

Gazizova

et al. 2024

Glaucoma

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Primary open-angle glaucoma (POAG) is a multifactorial, progressive disease, which pathogenesis is not completely understood. This review analyzes studies that confirm the relationship between emotional state, mental characteristics, and the morphological-functional state of the central nervous system with the development and progression of POAG. The psychopathological disorders are shown to be inevitable in such chronic neurodegenerative diseases as Alzheimer's disease and glaucoma. The article presents data confirming that cognitive indicators correlate with the thickness of the retinal ganglion cell layer. Retinal ganglion cells can be considered a marker not only for glaucoma, but also for cerebral neurodegeneration, cognitive impairment, anxiety and depression levels. Optical coherence tomography of the retina can be used as a method for early detection of cognitive impairment and neurodegenerative processes in the brain. It is confirmed that patients with open-angle glaucoma need a comprehensive neurological and neuropsychological examination for early identification of cognitive disorders and timely prescription of psychotherapeutic treatment. The article also emphasizes the need for psychotherapeutic support due to the prevalence of depression, dementia, and sleep disturbances among glaucoma patients.

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The psychology of a glaucoma patient

Cited by 3 publications

References 35 publications

Prospects of using the TVGD-02 tonometer for assisted monitoring of intraocular pressure at home

Prospects of using the TVGD-02 tonometer for assisted monitoring of intraocular pressure at home

Fundamentals of a personalized approach at different stages of newly diagnosed glaucoma

Cognitive impairment in glaucoma and the possibilities of its correction

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