[Dynamics of morbidity in the elderly according to the class of eye and its appendage diseases in the Arkhangelsk region.]

Abstract

The article describes the trends in the primary morbidity of the elderly by the class of eye disease and its accessory apparatus (H00-H59) in the Arkhangelsk region of Russian Federation from 2018 to 2021, analyzes the features of morbidity by gender, age, form of medical care, nosology according to the Territorial Fund of Compulsory Medical Insurance of the Arkhangelsk region (TFOMS AR), n=418 196. The indicators of primary morbidity of eye diseases in the elderly have a general negative trend, increasing in 2019 during the COVID-19 pandemic. In men, the dynamics of morbidity over five years is lower than in women. Primary morbidity is higher in the group of 70-79 years than in other age groups in relative and absolute values. 90% of primary diagnoses were made during outpatient admission, 6% in a round-the-clock hospital. Among nosologies, the leading ones are lens diseases (H25-H28) - 41,9% and glaucoma (H40-H42) - 20,6%. The data obtained can be used to organize preventive measures, for example, drawing up a plan for medical examination and dispensary observation of the elderly population, as well as to assess sensory deficits when analyzing the level of functionality in the elderly with a comprehensive geriatric assessment.