Digital monitoring and diagnostic optimization of ocular pathologies in the elderly population

Abstract

Background: The global increase in life expectancy is one of the most significant achievements of modern society. The growing proportion of elderly individuals has led to a marked rise in age-related ocular diseases. In Uzbekistan’s Fergana Valley, more than 4,100 people aged 90 years and older represent a rapidly expanding demographic requiring improved ophthalmological monitoring. Objective: To enhance the system of monitoring and diagnosis of ocular pathologies in elderly individuals through the implementation of a digital health program. Materials and Methods: A digital platform titled “Medical Monitoring Card for the Elderly” was developed and implemented in the healthcare network of the Fergana Valley. The study included 413 elderly participants from Andijan (n=105), Fergana (n=222), and Namangan (n=86) regions. The program integrated four key modules: demographic data, anamnesis and comorbidities, diagnostic results, and follow-up monitoring. It enabled direct communication between primary care physicians and specialized ophthalmologists for improved coordination. Results: Implementation of the electronic system significantly improved the quality and efficiency of geriatric ophthalmological care. Duplicate diagnostic procedures were reduced by 30%. Coordination between primary and specialized healthcare providers improved notably. Compensation indicators for chronic diseases increased 3.5-fold. Progression of ocular pathologies was halted in 89% of monitored cases. The system eliminated data duplication, ensured transparency of clinical decisions, and facilitated real-time performance assessment of medical personnel. Conclusion: The digital monitoring system proved to be an effective tool for optimizing ophthalmologic diagnostics and follow-up care among the elderly. The model can be adapted and scaled for broader use in regional and national healthcare systems.