MEDICAL AND SOCIAL ISSUES OF OCCUPATIONAL REHABILITATION IN ELDERLY PATIENTS WITH VASCULAR OPHTHALMOPATHY

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Abstract

Aim: To assess medical and social issues of occupational rehabilitation in elderly patients with vascular eye diseases. 

Materials and methods: The results of examination of 572 patients and disabled persons after acute occlusion of central retinal artery, central retinal vein or optic nerve ischemia with sequelae were analyzed. 

Results: The majority of patients (> 70%) with history of acute occlusion of central retinal artery, central retinal vein or optic nerve ischemia were elderly and had extensive professional background. Frequency of acute vascular eye diseases-related disability was as follows: 12.7% after occlusion of central retinal artery, 60.1% after acute occlusion of central retinal vein and 27.2% after acute optic nerve ischemia. 

Conclusion: Key determinants of occupational abilities in patients with vascular eye diseases are: visual function, positive motivation for work, compensation status of background vascular condition and adequate working environment.

About the authors

A. M. Razumovskaya

Saint Petersburg Institute for Postgraduate Medical Education of Medical Reviewers

Author for correspondence.
Email: amrazum@mail.ru

PhD, Associate Professor, Internal Diseases Department, Medical and Social Assessment and Rehabilitation

Russian Federation

M. I. Razumovskiy

Saint Petersburg Scientific and Practical Centre of Medical and Social Expertise, Prosthetics and Rehabilitation named after G.A. Albrecht

Email: fake@neicon.ru

Honoured Doctor of the Russian Federation, MD, PhD, Professor, The Head of the Department of Medical and Social Issues and Rehabilitation for Visually Impaired and Blind People2

Russian Federation

S. V. Trofimova

Saint Petersburg Institute for Bioregulation and Gerontology of the North-West Branch of the Russian Academy of Medical Sciences

Email: fake@neicon.ru

MD, PhD, the Head of the Ophthalmology Department

Russian Federation

References

  1. Разумовская АМ. Динамика первичной инвалидности вследствие офтальмопатологии в Санкт-Петербургской области и некоторых регионах России за период 1997–2001 гг. В: Разумовский МИ, Астахов ЮС, Красикова НС, Разумовская АМ, ред. Обзорная информация для офтальмологов-экспертов, специалистов бюро МСЭ, сотрудников Центров реабилитации. М.; 2004. 34 с. (Razumovskaya AM. Dynamics of primary eye diseases-related disability in Saint Petersburg Region and several other Regions of Russian Federation during the period 1997–2001. In: Razumovskiy MI, Astakhov YuS, Krasikova NS, Razumovskaya AM, editors. Background information for reviewing ophthalmologists, specialists of Medical and Social Assessment Bureau and Rehabilitation Centers. Moscow; 2004. 34 p. Russian).
  2. Разумовский МИ, Глязгер НС, Разумовская АМ. Состояние инвалидности в Санкт-Петербурге и некоторых территориях России вследствие офтальмопатологии при первичном и повторном освидетельствовании за период 1995–2000 гг. Клиническая офтальмология. 2001;(5):5. (Razumovskiy MI, Glyazger NS, Razumovskaya AM. [Eye diseases-related disability in Saint Petersburg Region and several other Regions of Russian Federation at primary and repeated assessment during the period 1995–2000]. Klinicheskaya oftal’mologiya. 2001;(5):5. Russian).
  3. Шульпина НБ. Острое нарушение кровообращения в сетчатой оболочке. В: Краснов ММ, Нестеров АП, Дыбов С, ред. Актуальные проблемы офтальмологии. М.: Медицина; 1981. с. 88–116. (Shul’pina NB. Acute retinal ischemia. In: Krasnov MM, Nesterov AP, Dybov S, editors. Current problems in ophthalmology. Moscow: Meditsina; 1981. p. 88–116. Russian).
  4. Киселева ТН, Полунин ГС, Лагутина ЮМ. Современные аспекты медикаментозной коррекции нарушения кровообращения в сосудах глаза. Вестник офтальмологии. 2007;(2):37–9. (Kiseleva TN, Polunin GS, Lagutina YuM. [Current approaches to drug treatment of eye dyscirculation]. Vestnik oftal’mologii. 2007;(2):37–9. Russian).
  5. Тарасова ЛН, Киселева ТН, Фокин АА. Глазной ишемический синдром. М.: Медицина; 2003. 176 с. (Tarasova LN, Kiseleva TN, Fokin AA. Ophthalmic ischemia syndrome. Moscow: Meditsina; 2003. 176 p. Russian).
  6. Мурзина ТФ, ред. Медико-социальное обслуживание и реабилитация (учебно-практическое пособие). Вып. 1. СПб.: Айсинг; 2011. 108 с. (Murzina TF, editor. Medical and social service and rehabilitation (a workbook). Issue 1. Saint Petersburg: Aysing; 2011. 108 p. Russian).
  7. Разумовский МИ, Разумовская АМ. Основы социальной реабилитации инвалидов с сосудистыми заболеваниями органа зрения. СПб.; 2012. (Razumovskiy MI, Razumovskaya AM. Principles of social rehabilitation of patients with vascular eye diseases-related disability. Saint Petersburg; 2012. Russian).

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Copyright (c) 2015 Razumovskaya A.M., Razumovskiy M.I., Trofimova S.V.

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