Glaucoma: classification and terminology. Critical remarks
https://doi.org/10.53432/2078-4104-2025-24-1-3-7
Abstract
Clinical classification schemes are never static. As new knowledge accumulates — whether in pathogenesis, diagnostic improvements, novel treatment approaches, monitoring, or rehabilitation — there arises a need to refine the logical principles underlying classification.
Nearly half a century has passed since the adoption of the current classification of primary open-angle glaucoma proposed by A.P. Nesterov and A.Ya. Bunin. During this time, significant advancements have been made: new insights into the pathogenesis of primary glaucoma have emerged, in vivo morphological assessment of certain structures has become possible, enhancing diagnostic capabilities; and new terminological constructs have appeared, requiring well-founded interpretation or serving as grounds for scientific discussion. These developments provide a basis for substantive revisions to the existing classification.
The primary focus of this discussion is a clinical subtype of primary open-angle glaucoma — normal (low-) tension glaucoma. This article is dedicated to its reconsideration.
About the Authors
V. V. Strakhov
Yaroslavl State Medical University
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Head of the Academic Department of Ophthalmology
5 Revolutsionnaya St., Yaroslavl, 150000
V. P. Erichev
All-Russian public organization "Russian society of ophthalmologists-glaucoma specialists"
Russian Federation
Russian Federation
Dr. Sci. (Med.), Professor, Vice-President
Moscow
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Review
For citations:
Strakhov V.V., Erichev V.P. Glaucoma: classification and terminology. Critical remarks. National Journal glaucoma. 2025;24(1):3-7. (In Russ.) https://doi.org/10.53432/2078-4104-2025-24-1-3-7
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