A new classification of glaucomas

Constantin-Dan Bordeianu Private Practice, Ploiesti, Prahova, Romania Purpose: To suggest a new glaucoma classification that is pathogenic, etiologic, and clinical.Methods: After discussing the logical pathway used in criteria selection, the paper presents the new classification and compares it wi...

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Autor principal: Bordeianu CD
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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Acceso en línea:https://doaj.org/article/7d064457810846dfacfdc5a02a3ad8a4
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spelling oai:doaj.org-article:7d064457810846dfacfdc5a02a3ad8a42021-12-02T07:03:51ZA new classification of glaucomas1177-5483https://doaj.org/article/7d064457810846dfacfdc5a02a3ad8a42014-09-01T00:00:00Zhttp://www.dovepress.com/a-new-classification-of-glaucomas-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Constantin-Dan Bordeianu Private Practice, Ploiesti, Prahova, Romania Purpose: To suggest a new glaucoma classification that is pathogenic, etiologic, and clinical.Methods: After discussing the logical pathway used in criteria selection, the paper presents the new classification and compares it with the classification currently in use, that is, the one issued by the European Glaucoma Society in 2008.Results: The paper proves that the new classification is clear (being based on a coherent and consistently followed set of criteria), is comprehensive (framing all forms of glaucoma), and helps in understanding the sickness understanding (in that it uses a logical framing system). The great advantage is that it facilitates therapeutic decision making in that it offers direct therapeutic suggestions and avoids errors leading to disasters. Moreover, the scheme remains open to any new development.Conclusion: The suggested classification is a pathogenic, etiologic, and clinical classification that fulfills the conditions of an ideal classification. The suggested classification is the first classification in which the main criterion is consistently used for the first 5 to 7 crossings until its differentiation capabilities are exhausted. Then, secondary criteria (etiologic and clinical) pick up the relay until each form finds its logical place in the scheme. In order to avoid unclear aspects, the genetic criterion is no longer used, being replaced by age, one of the clinical criteria. The suggested classification brings only benefits to all categories of ophthalmologists: the beginners will have a tool to better understand the sickness and to ease their decision making, whereas the experienced doctors will have their practice simplified. For all doctors, errors leading to therapeutic disasters will be less likely to happen. Finally, researchers will have the object of their work gathered in the group of glaucoma with unknown or uncertain pathogenesis, whereas the results of their work will easily find a logical place in the scheme, as the suggested classification remains open to any new development. Keywords: glaucoma, classification of glaucoma, pathogenic forms of glaucomaBordeianu CDDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1801-1817 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Bordeianu CD
A new classification of glaucomas
description Constantin-Dan Bordeianu Private Practice, Ploiesti, Prahova, Romania Purpose: To suggest a new glaucoma classification that is pathogenic, etiologic, and clinical.Methods: After discussing the logical pathway used in criteria selection, the paper presents the new classification and compares it with the classification currently in use, that is, the one issued by the European Glaucoma Society in 2008.Results: The paper proves that the new classification is clear (being based on a coherent and consistently followed set of criteria), is comprehensive (framing all forms of glaucoma), and helps in understanding the sickness understanding (in that it uses a logical framing system). The great advantage is that it facilitates therapeutic decision making in that it offers direct therapeutic suggestions and avoids errors leading to disasters. Moreover, the scheme remains open to any new development.Conclusion: The suggested classification is a pathogenic, etiologic, and clinical classification that fulfills the conditions of an ideal classification. The suggested classification is the first classification in which the main criterion is consistently used for the first 5 to 7 crossings until its differentiation capabilities are exhausted. Then, secondary criteria (etiologic and clinical) pick up the relay until each form finds its logical place in the scheme. In order to avoid unclear aspects, the genetic criterion is no longer used, being replaced by age, one of the clinical criteria. The suggested classification brings only benefits to all categories of ophthalmologists: the beginners will have a tool to better understand the sickness and to ease their decision making, whereas the experienced doctors will have their practice simplified. For all doctors, errors leading to therapeutic disasters will be less likely to happen. Finally, researchers will have the object of their work gathered in the group of glaucoma with unknown or uncertain pathogenesis, whereas the results of their work will easily find a logical place in the scheme, as the suggested classification remains open to any new development. Keywords: glaucoma, classification of glaucoma, pathogenic forms of glaucoma
format article
author Bordeianu CD
author_facet Bordeianu CD
author_sort Bordeianu CD
title A new classification of glaucomas
title_short A new classification of glaucomas
title_full A new classification of glaucomas
title_fullStr A new classification of glaucomas
title_full_unstemmed A new classification of glaucomas
title_sort new classification of glaucomas
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/7d064457810846dfacfdc5a02a3ad8a4
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