Role of new methods for detecting malingering and simulation patients with ophthalmopathology aimed at medical and social expertise

Tlupova Tamara Gumarovna, Teuvazhukova Diana Arsenovna, Teuvov Aslan Alekseevich, Baziev Artur Mukharbievich, Lovpache Zarema Nuriydinovna

The purpose of this work is to describe new methods for detecting aggravation and simulation in patients with ophthalmopathology during medical and social examination. For the study, a special device was developed (RF Patent No. 2269921), which makes it possible to determine visual acuity under various lighting conditions. 6 groups were formed: A (control group), with the results of which the indicators of groups A1 (patients with high myopia), A2 (with primary glaucoma), A3 (with partial optic nerve atrophy), A4 (with initial cataract), A5 (with a dry form of macular degeneration). The influence of light conditions on visual acuity was studied. The research carried out makes it possible to predict the economic effect (savings of budgetary resources, recalculated for the year, about 5,000,000 rubles). The results obtained confirm the important role of using the proposed method for determining the true values of visual acuity, in the early diagnosis of glaucoma, macular degeneration, optic nerve atrophy, in the conduct of medical and social expertise to determine aggravation and simulation.

Keywords:medical-social examination (ITU), ophthalmology, light exposure, glaucoma, macular degeneration, myopia.