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Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008

机译:欧洲青光眼学会在2008年对青光眼的分类进行了批判性分析

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Purpose: To critically analyze the 2008 European Glaucoma Society classification of glaucomas, in order to reveal its advantages and shortcomings.Methods: The paper tries to determine the extent to which this classification is clear (being based on a coherent and consistently followed set of criteria), is comprehensive (framing all forms of glaucoma), helps to understand the sickness (using a logical framing system), and facilitates therapeutic decision making (offering direct therapeutic suggestions).Results and conclusion: The paper shows that, compared with all the previous classifications, the 2008 European Glaucoma Society classification is one step ahead (in the way of classifying the group of secondary angle-closure glaucomas), two steps behind (in rejecting two useful categories of congenital glaucoma), and similar in several respects: that it is based on criticizable fundamental and secondary criteria that cannot cover all forms of sickness gathered at a particular crossing; that it uses several equally weighted criteria for one single crossing (division); that it frames one clinical entity in several clinical categories; that it does not reflect reality in some aspects; and that it does not offer direct therapeutic suggestions: after framing a case in a scheme built on the basis of gonioscopic observation, it requires a second stage of pathogenic analysis, so that the ophthalmologist is able to decide the correct treatment only in the third stage. All these considerations justify the efforts to find a new classification that will be able to correct the abovementioned shortcomings.
机译:目的:严格分析2008年欧洲青光眼协会对青光眼的分类,以揭示其优势和不足。方法:本文试图确定这种分类的明确程度(基于连贯一致的标准)是全面的(将所有形式的青光眼定型),有助于了解疾病(使用逻辑定型系统),并有助于治疗决策(提供直接的治疗建议)。结果和结论:与所有在以前的分类中,2008年欧洲青光眼学会分类向前迈出了一步(对继发性闭角型青光眼进行了分类),落后了第二步(在拒绝先天性青光眼的两个有用类别时),并且在几个方面相似:它基于可批评的基本和次要标准,不能涵盖在特定交叉口收集的所有形式的疾病;它对一个单一的交叉路口(分区)使用多个相等加权的标准;它在几个临床类别中构成一个临床实体;在某些方面没有反映现实;并且它没有提供直接的治疗建议:在基于角镜观察构建的方案中确定病例后,需要进行第二阶段的病原分析,以便眼科医生仅在第三阶段才能决定正确的治疗方法。所有这些考虑都证明了寻找能够纠正上述缺点的新分类的努力的合理性。

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