Preview

Proceedings of the Southwest State University. Series: IT Management, Computer Science, Computer Engineering. Medical Equipment Engineering

Advanced search

The use of the discriminant method in predicting the progression of primary glaucoma

https://doi.org/10.21869/2223-1536-2025-16-2-8-20

Abstract

The purpose of the research is predicting the progression of primary glaucoma by discriminant method.

Methods. The study involved 141 patients with stage I primary glaucoma and 145 patients with stage II primary glaucoma. On the second day, in the morning, 2 ml of blood was taken, the analysis of which, counting the number of blood cells studied, was performed by the automated Sysmex XN-A1 system (Japan) and the calculation of the analyzed indices. Statistical processing of the obtained data was carried out on a computer and included the use of a discriminant method to create mathematical models that provide 95% error-free differentiation (classification) of patients with stage I and II primary glaucoma.

Results. A comparative assessment of the indices of weak immune inflammation among patients with the progression of the first glaucoma relative to patients without the progression of primary glaucoma revealed significant differences in all the indices under consideration. In accordance with the highest informative value of the SIRI and AISI indexes, the following model was developed by discriminant analysis: Y1 = –12,561 + 0,69X1 + 0,08X2, and for patients without progression of primary glaucoma, the model Y2 = –4,768 + 0,085X1 + 0,024X2. It was found that discriminant models mistakenly assigned 13,25% of patients with primary glaucoma progression to the group of patients without primary glaucoma progression. However, discriminant models were classified into the group of patients without primary glaucoma progression, 12,81% with primary glaucoma progression.

Conclusion. The use of the discriminant method and the SIRI and AISI indexes allowed us to develop a discriminant model that makes it possible to differentiate patients with primary glaucoma progression from patients without primary glaucoma progression with the required quality.

About the Authors

A. A. Abramov
Skandinavia Clinic
Russian Federation

Anton А. Abramov, Cand. Sci. (Medical), Ophthalmologist

4/1 Ilyushina Str., Saint Petersburg 197372



A. E. Kopylov
Intersectoral Scientific and Technical Complex "Eye Microsurgery" named after Academician S. N. Fedorov, Tambov Branch
Russian Federation

Andrey E. Kopylov, Cand. Sci. (Medical), Ophthalmologist, Head of the Department of Laser Center

1 Rasskazovskoe highway, Tambov 392000



A. A. Bakhareva
Southwest State University
Russian Federation

Arina A. Bakhareva, Student at the Department of Biomedical Engineering

50 Let Oktyabrya Str. 94, Kursk 305040



I. M. Fedoseev
Southwest State University
Russian Federation

Ilуа M. Fedoseev, Student at the Department of Biomedical Engineering

50 Let Oktyabrya Str. 94, Kursk 305040



M. L. Kurzin
Intersectoral Scientific and Technical Complex "Eye Microsurgery" named after Academician S. N. Fedorov
Russian Federation

Maxim L. Kurzin, Ophthalmologist of the First Department

1 Rasskazovskoe highway, Tambov 392000



I. Yu. Sharapov
Intersectoral Scientific and Technical Complex "Eye Microsurgery" named after Academician S. N. Fedorov
Russian Federation

Ilуа. Yu. Sharapov, Ophthalmologist at the Children's Department,

1 Rasskazovskoe highway, Tambov 392000



D. R. Shmarova
Southwest State University
Russian Federation

Diana R. Shmarova, Student at the Department of Biomedical Engineering

50 Let Oktyabrya Str. 94, Kursk 305040



A. A. Shorokhova
Southwest State University
Russian Federation

Anastasia А. Shorokhova, Student at the Department of Biomedical Engineering

50 Let Oktyabrya Str. 94, Kursk 305040



References

1. Zhang N., Wang J., Li Y., et al. Prevalence of primary open angle glaucoma in the last 20 years: A meta-analysis and systematic review. Sci. Rep. 2021;11(1):13762. https://doi.org/ 10.1038/s41598-021-92971-w.

2. Alqawlaq S., Flanagan J.G., Sivak J.M. All roads lead to glaucoma: Induced retinal injury cascades contribute to a common neurodegenerative outcome. Exp. Eye. Res. 2019;(183):88-97. https://doi.org/10.1016/j.exer.2018.11.005.

3. Mudie L.I., LaBarre S., Varadaraj V., et al. The Icare HOME (TA022) study: Performance of an intraocular pressure measuring device for self-tonometry by glaucoma patients. Ophthalmology. 2016;123(8):1675-1684. https://doi.org/10.1016/j.ophtha.2016.04.044.

4. Mansouri K., Rao H.L., Weinreb R.N., et al. Short-term and long-term variability of intraocular pressure measured with an intraocular telemetry sensor in patients with glaucoma. Oph- thalmology. 2021;128(2):227-233. https://doi.org/10.1016/j.ophtha.2020.07.016.

5. Li S., Qiu Y., Yu J., et al. Association of systemic inflammation indices with visual field loss progression in patients with primary angle-closure glaucoma: potential biomarkers for 3P medical approaches. EPMA J. 2021;12(4):659-675. https://doi.org/10.1007/s13167-021-00260-3.

6. Mehta P., Petersen C.A., Wen J.C., et al. Automated Detection of Glaucoma With Interpretable Machine Learning Using Clinical Data and Multimodal Retinal Images. Am. J. Oph- thalmol. 2021;(231):154-169. https://doi.org/10.1016/j.ajo.2021.04.021.

7. Oh S., Park Y., Cho K.J., et al. Explainable Machine Learning Model for Glaucoma Diagnosis and Its Interpretation. Diagnostics (Basel). 2021;11(3):510. https://doi.org/10.3390/diagnostics11030510.

8. Shirvani M., Sougi F., Nouralishahi A., et al. The Diagnostic Value of Neutrophil to Lymphocyte Ratio as an Effective Biomarker for Eye Disorders: A Meta-Analysis. Biomed. Res. Int. 2022;(2022):5744008. https://doi.org/10.1155/2022/5744008.

9. Nedakhin M.A., Agarkov N.M., Ibiev A.S.O., et al. Age-related viability in critical periods of life of patients with visual deficits and injuries. Nauchnye rezul'taty biomeditsinskikh issledovanii = Research Results in Biomedicine. 2025;11(4):727-741. (In Russ.)

10. Zukerman R., Harris A., Oddone F., et al. Glaucoma heritability: molecular mechanisms of disease // Genes (Basel). 2021;(12):1135. https://doi.org/10.3390/genes12081135.

11. Li X., Sun Y.Q., Zhong X.D., et al. Association between systemic inflammatory response index and glaucoma incidence from 2005 to 2008. Front. Med. (Lausanne). 2025;(12):1542073. https://doi.org/10.3389/fmed.2025.1542073.

12. Lev I.V., Agarkov N.M., Starodubtseva L.V. Geriatric management of patients with diabetic retinopathy. Nauchnye rezul'taty biomeditsinskikh issledovanii = Research Results in Bi- omedicine. 2023;9(1):129-141. (In Russ.)

13. Deshpande G.A., Bawankule P.K., Raje D.V., et al. Linear discriminant score for differentiating early primary open angle glaucoma from glaucoma suspects. Indian. J. Ophthalmol. 2019;67(1):75-81. https://doi.org/10.4103/ijo.IJO_678_18.

14. Deshpande G.A., Gupta R., Bawankule P., et al. Evaluation of ganglion cell-inner plexiform layer thickness in the diagnosis of preperimetric glaucoma and comparison to retinal nerve fiber layer. Indian. J. Ophthalmol. 2021;69(5):1113–1119. https://doi.org/10.4103/ijo.IJO_965_20.

15. Karahan M., Kilic D., Guven S. Systemic inflammation in both open-angle and angleclosure glaucoma: role of platelet-to-lymphocyte ratio. Bratisl. Lek. Listy. 2021;122(1):45-48. https://doi.org/10.4149/BLL_2021_005.

16. Li S., Cao W., Han J., et al. The diagnostic value of white blood cell, neutrophil, neutrophil- to-lymphocyte ratio, and lymphocyte-to-monocyte ratio in patients with primary angle closure glaucoma. Oncotarget. 2017;8(40):68984-68995. https://doi.org/10.18632/oncotarget.16571.

17. Tang B., Li S., Han J., et al. Associations between Blood Cell Profiles and Primary Open-Angle Glaucoma: A Retrospective Case-Control Study. Ophthalmic Res. 2020;63(4):413- 422. https://doi.org/10.1159/000504450.

18. Ma Y., Han J., Li S., et al. Association between Platelet Parameters and Glaucoma Severity in Primary Open-Angle Glaucoma. J. Ophthalmol. 2019;(2019):3425023. https://doi.org/10.1155/2019/3425023.

19. Li S., Gao Y., Shao M., et al. Association between coagulation function and patients with primary angle closure glaucoma: a 5-year retrospective case-control study. BMJ Open. 2017;7(11):e016719. https://doi.org/10.1136/bmjopen-2017-016719.


Review

For citations:


Abramov A.A., Kopylov A.E., Bakhareva A.A., Fedoseev I.M., Kurzin M.L., Sharapov I.Yu., Shmarova D.R., Shorokhova A.A. The use of the discriminant method in predicting the progression of primary glaucoma. Proceedings of the Southwest State University. Series: IT Management, Computer Science, Computer Engineering. Medical Equipment Engineering. 2026;16(2):8-20. (In Russ.) https://doi.org/10.21869/2223-1536-2025-16-2-8-20

Views: 60

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2223-1536 (Print)