Comparative analysis of detection and management protocols for patients with open-angle glaucoma in relation to World Health Organization recommendations for blindness prevention
DOI:
https://doi.org/10.32402/dovkil2026.01.017Keywords:
glaucoma, prevention, World Health OrganizationAbstract
The Aim. Comparative Analysis of current protocols and standards for glaucoma treatment in Ukraine and the World Health Organization’s Package of Eye Care Interventions for early diagnosis and complication prevention. Materials and methods. Comparison of the Glaucoma Medical Care Standard, the Evidence-based Clinical Guideline for Glaucoma, and the Order of the Ministry of Health No. 959 of 05/26/2023 and the World Health Organization's Package of Eye Care Interventions of 2022. Literature search. Results. Interventions for the screening, diagnosing and treatment of glaucoma indicated in the Evidence-Based Clinical Guideline for Glaucoma correspond to the list of examinations of the Package of Eye Care Interventions. However, unlike the recommendations of the World Health Organization, the Clinical Guideline does not indicate at which levels of medical care the appropriate measurements should be provided. Regarding the rehabilitation of patients with glaucoma, the recommendations of the World Health Organization indicate groups of rehabilitation interventions necessary to improve the quality of life of patients with irreversible significant decrease in visual acuity. The current standards for the diagnosis and treatment of glaucoma in Ukraine do not contain clearly structured rehabilitation and preventive interventions for such groups of patients. Conclusions. In terms of the diagnosing and treatment of primary open-angle glaucoma, the Standards of Medical Care for Glaucoma, the Evidence-Based Clinical Guideline for Glaucoma and the Order of the Ministry of Health No. 959 dated May 26, 2023 generally comply with the Package of Eye Care Interventions (PECI) of the World Health Organization. However, the Ukrainian standards lack algorithms and interventions for the rehabilitation of patients with visual impairment due to advanced stages of glaucoma, which is an important link in the treatment of this disease.Downloads
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