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DOI: 10.18413/2658-6533-2023-9-1-0-10

The impact of rehabilitation measures on the geriatric profile of patients with glaucoma

Background: The high prevalence of glaucoma is accompanied by a steady decline of functional activity due to a significant visual deficit and deterioration of the geriatric status of patients, which is currently insufficiently studied. In the presence of visual deficiency, specialists mainly correct it by surgical methods, but rehabilitation measures aimed at improving the geriatric profile among senile and elderly people are rarely carried out. The aim of the study: To analyze the effect of rehabilitation measures on the geriatric profile of patients with glaucoma. Materials and methods: The study involved 165 elderly and senile patients with glaucoma (the main group), among whom, after laser trabeculoplasty, rehabilitation measures with a geriatric orientation were carried out: physical exercises to improve eye coordination and hand movements; performing cognitive gymnastics; strength exercises; increasing social communications; increasing vegetable protein in the diet, the use of nutraceuticals "Frezubin". In the control group (108 patients), only surgical treatment of glaucoma was performed. A year after rehabilitation, a comprehensive geriatric assessment was performed with the identification of leading clinical deficiency syndromes. Results: Among senile and elderly patients with glaucoma of the main group, at the time of completion of observations, the prevalence of fall risk syndrome significantly decreased from 49.1±4.0 to 22.8±1.9 cases per 100 patients (p<0.01) with a significant difference compared to the control group. Among the patients of the main group, the prevalence of the syndrome of falls and cognitive impairments also decreased. In the control group of patients with glaucoma, only the prevalence of falls syndrome decreased. With a decrease in the visual deficit of elderly and senile patients after a year of rehabilitation with the achievement of visual acuity without correction of more than 0.3, an improvement in the geriatric status for four deficit syndromes was noted in the main group, while the frequency of general motor activity disorder syndrome decreased most significantly (p<0.01). The frequency of hypomobility syndrome decreased in the control group. The value of the maximally corrected visual acuity increased statistically significantly in the main group from 0.28±0.03 to 0.52±0.04 (p<0.01), and in the control group from 0.24±0.02 to 0.39±0.03 (p<0.01). Conclusion: The proposed rehabilitation measures for the geriatric profile in patients with glaucoma turned out to be more effective.

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