helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2023-16-3-173-179helmholtzeyeinstitute-1317Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSТелемедицина для глаукомы: современное состояние и тенденции развитияTelemedicine for glaucoma: the state-of-the-art and trends of developmenthttps://orcid.org/0000-0001-6922-0464ПетровС. Ю.PetrovS. Yu.

Сергей Юрьевич Петров - д-р мед. наук, начальник отдела глаукомы

ул. Садовая-Черногрязская, д. 14/19, Москва, 105062

Sergey Yu. Petrov - Dr. of Med. Sci., head, department of glaucoma

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062

glaucomatosis@gmail.comhttps://orcid.org/0000-0003-3679-8619МалишевскаяТ. Н.MalishevskayaT. N.

Татьяна Николаевна Малишевская - д-р мед. наук, заведующая отделением аналитической работы

ул. Садовая-Черногрязская, д. 14/19, Москва, 105062

Tatiana N. Malishevskaya - Dr. of Med. Sci., head, department of analytics

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062

ФариковаЭ. Э.FarikovaE. E.

Эльмаз Эльдаровна Фарикова - врач-офтальмолог

ул. Льва Толстого, д. 6–8, Санкт-Петербург, 197022

Elmaz E. Farikova - ophthalmologist

6-8, Leo Tolstoy St., St. Petersburg, 197022

https://orcid.org/0000-0002-8090-6034МаркеловаО. И.MarkelovaO. I.

Оксана Игоревна Маркелова - аспирант отдела глаукомы

ул. Садовая-Черногрязская, д. 14/19, Москва, 105062

Oksana I. Markelova - post-graduate student

14/19, Sadovaya-Chernogryazskaya St., Moscow, 105062

ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава РоссииРоссияHelmholtz National Medical Research Center of Eye DiseasesRussian FederationФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава РоссииРоссияI.P.Pavlov First St. Petersburg State Medical UniversityRussian Federation202312102023163173179Copyright © Петров С.Ю., Малишевская Т.Н., Фарикова Э.Э., Маркелова О.И., 20232023Петров С.Ю., Малишевская Т.Н., Фарикова Э.Э., Маркелова О.И.Petrov S.Y., Malishevskaya T.N., Farikova E.E., Markelova O.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/1317

Глаукома занимает первое место среди причин инвалидности вследствие офтальмопатологии практически во всех регионах России. Это хроническое пожизненное заболевание, при котором мониторинг (раз в год или чаще) осуществляется в условиях медицинского учреждения. По мере старения населения распространенность глаукомы неуклонно растет, в связи с чем доступ к медицинской помощи становится более ограниченным. Прогресс в сфере телекоммуникаций и диагностических технологий позволил разработать программы телеглаукомы, в рамках которых основные метрические данные, касающиеся глаукомы, передаются дистанционному специалисту для интерпретации. Федеральный закон № 242-ФЗ о телемедицине вступил в силу с 1 января 2018 г., но пандемия COVID-19 значительно ускорила развитие информационных технологий в медицине в целом и телемедицинской коммуникации в частности. В данном обзоре представлены сведения, касающиеся программ телеглаукомы, которые свидетельствуют об их эффективности, и практические рекомендации. Потенциально телемедицинские коммуникации способны улучшить доступ к медицинской помощи. Результаты анализа экономической составляющей показали, что дистанционный прием более эффективен с экономической точки зрения, чем очное обследование пациента. При использовании программ телеглаукомы достаточно часто выявляются глаукоматозные изменения диска зрительного нерва и значительное число пациентов с подозрением на глаукому направляются на скрининг. Публикации, посвященные опыту использования активных прог рамм, способствуют их дальнейшему развитию и внедрению в общественное здравоохранение, что позволит расширить доступ к качественной медицинской помощи больным с глаукомой.

Glaucoma is the top leading cause of ophthalmic-related disability in almost all Russian regions. It is a chronic lifelong disease which requires regular monitoring (once a year or more often) in a medical facility. Since the population is aging, the prevalence of glaucoma is steadily increasing, which hampers access to medical care. Advances in telecommunications and diagnostic technologies have given rise to programs of TV glaucoma, which are used to pass the basic glaucoma parameters on to a specialist working remotely for interpretation. The Federal Law No 242-FZ on telemedicine came into force on January 1, 2018, but the COVID-19 pandemic sped up the development of information technologies in medicine in general and telemedicine communication in particular. The review presents the data on TV glaucoma programs which point to their effectiveness and provides practical advice. Potentially, telemedicine can facilitate access to medical care. The analysis of the economic factors shows that remote consulting is more cost-effective than traditional face-to-face examination of the patient. TV glaucoma programs often help detect glaucomatous changes in the ONH, so more patients with suspicion of glaucoma are referred for screening.. Publications focused on the experience in using active programs contribute to their further development and introduction to the public health system, which will eventually facilitate the access to quality medical care for patients with glaucoma.

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The authors declare that there are no conflicts of interest present.