MODERN METHODS OF FOLLOW-UP AND REHABILITATION OF PATIENTS WITH PHACOGENIC GLAUCOMA

Resume. Phacogenic glaucoma is currently a priority among socially significant ocular diseases, as it is one of the main causes of irreversible blindness. The aim of this study was to monitor and evaluate rehabilitation methods for patients with phacogenic glaucoma. At the outpatient clinic of the multidisciplinary clinic of the Saratov State Medical University, follow-up care for patients with phacogenic glaucoma in the eye department is based on clinical guidelines for glaucoma. To establish a diagnosis, patients undergo the minimum necessary tests, such as uncorrected and maximum-corrected visometry, biomicroscopy, gonioscopy, direct ophthalmoscopy, tonometry, and examination of the central and peripheral visual fields, which corresponds to the equipment available in primary care. Visual acuity is determined using a Sivtsev-Golovin optotype chart placed in a Roth apparatus and a visual sign projector. Refractive errors are examined and corrected subjectively using a standard set of trial spectacle lenses. Biomicroscopy is performed using a slit lamp, typically a domestically produced one, which is standard equipment in ophthalmologists' offices at the clinic. Attention is paid to the conjunctival vessels, cornea, anterior chamber depth, iris, and crystalline lens. Gonioscopy was performed using a van Beuningen gonioscope, followed by an assessment of the angle profile, the presence of synechiae, pseudoexfoliation, and pigment deposition. According to our data from the annual report of the ophthalmology service, as of January 1, 2025, 389 people had phacogenic glaucoma, representing 12.3% of the total number of glaucoma patients in the Samarkand region. Of these, 78 were newly diagnosed. A total of 389 outpatient reports were processed for analysis. An average of 40-60 people are identified annually, and an ophthalmologist examines 15-18 patients with this condition daily per shift. Keywords: medical rehabilitation, medical examination, monitoring, phacogenic glaucoma, vision, ophthalmology.

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