ANALYSIS OF COMPLIANCE OF UKRAINIAN DIAGNOSTIC GUIDELINES FOR PSEUDOEXFOLIATION SYNDROME WITH WORLD HEALTH ORGANIZATION RECOMMENDATIONS

Abstract

Purpose: to compare compliance of Ukrainian standards for the detection and diagnosis of pseudoexfoliation syndrome with «Vision and Eye Screening Implementation Handbook» Materials and Methods. A review and comparison of Standard of Medical Care for Glaucoma, Evidence-Based Clinical Guideline for Glaucoma and Order of the Ministry of Health № 959 dated 05/26/2023 and the World Health Organisation’s «Vision and Eye Screening Implementation Handbook». Results. Standard of Medical Care «Glaucoma» and Vision and eye screening implementation handbook» determine measurement of visual acuity and refraction is effective for the screening of the population. Slit-lamp examination and intraocular pressure measurements are indicated for screening of pseudoexfoliation syndrome in Ukrainian guidelines; however, the level of Medical Care required to perform this examination is not mentioned there. In contrast, World Health Organisation recommendations indicate external eye screening as the major option for screening on the primary level. Notably, measurement of intraocular pressure is not addressed in «Vision and Eye Screening Implementation Handbook». Conclusions. There is currently no specific guidance for the detection of pseudoexfoliation syndrome in Ukraine. The valid Standard of Medical Care for Glaucoma can be used for this purpose. Overall, Ukrainian screening strategies align with those of the World Health Organisation at the primary level. However, the role of measurement of intraocular pressure in the screening of pseudoexfoliation syndrome at the primary level needs to be determined.