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A new classification of glaucomas
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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166344/ https://www.ncbi.nlm.nih.gov/pubmed/25246759 http://dx.doi.org/10.2147/OPTH.S65003 |
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author | Bordeianu, Constantin-Dan |
author_facet | Bordeianu, Constantin-Dan |
author_sort | Bordeianu, Constantin-Dan |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4166344 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-41663442014-09-22 A new classification of glaucomas Bordeianu, Constantin-Dan Clin Ophthalmol Original Research 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. Dove Medical Press 2014-09-11 /pmc/articles/PMC4166344/ /pubmed/25246759 http://dx.doi.org/10.2147/OPTH.S65003 Text en © 2014 Bordeianu. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Bordeianu, Constantin-Dan A new classification of glaucomas |
title | 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_short | A new classification of glaucomas |
title_sort | new classification of glaucomas |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4166344/ https://www.ncbi.nlm.nih.gov/pubmed/25246759 http://dx.doi.org/10.2147/OPTH.S65003 |
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