Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008
Constantin-Dan BordeianuEmergency Hospital Ploiesti, Prahova, RomaniaPurpose: 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 cle...
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oai:doaj.org-article:f3ae5837cb644f90b1ac2aa47542c1142021-12-02T04:24:45ZCritical analysis of the classification of glaucomas issued by the European Glaucoma Society in 20081177-5483https://doaj.org/article/f3ae5837cb644f90b1ac2aa47542c1142014-01-01T00:00:00Zhttp://www.dovepress.com/critical-analysis-of-the-classification-of-glaucomas-issued-by-the-eur-a15610https://doaj.org/toc/1177-5483 Constantin-Dan BordeianuEmergency Hospital Ploiesti, Prahova, RomaniaPurpose: 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.Keywords: glaucoma, classification of glaucomas, shortcomings of the 2008 EGS classificationBordeianu CDDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 271-282 (2014) |
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Ophthalmology RE1-994 Bordeianu CD Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
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Constantin-Dan BordeianuEmergency Hospital Ploiesti, Prahova, RomaniaPurpose: 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.Keywords: glaucoma, classification of glaucomas, shortcomings of the 2008 EGS classification |
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article |
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Bordeianu CD |
author_facet |
Bordeianu CD |
author_sort |
Bordeianu CD |
title |
Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
title_short |
Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
title_full |
Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
title_fullStr |
Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
title_full_unstemmed |
Critical analysis of the classification of glaucomas issued by the European Glaucoma Society in 2008 |
title_sort |
critical analysis of the classification of glaucomas issued by the european glaucoma society in 2008 |
publisher |
Dove Medical Press |
publishDate |
2014 |
url |
https://doaj.org/article/f3ae5837cb644f90b1ac2aa47542c114 |
work_keys_str_mv |
AT bordeianucd criticalanalysisoftheclassificationofglaucomasissuedbytheeuropeanglaucomasocietyin2008 |
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1718401284815454208 |