EFFICIENCY OF TREATMENT OF DIABETIC PATIENTS WITH OCULAR COMPLICATIONS AT THE OPHTHALMIC CENTER IN UFA

Abstract

Timely detection and treatment of ocular complications of diabetes mellitus (DM) is a top priority. At the late stages of the disease, the prognosis for recovery of vision is disappointing.The aim of work is to analyze the structure and effectiveness of therapy for ocular complications of diabetes mellitus.52 patients with diabetic retinopathy (DR) and other ocular complications of DM being treated at the ophthalmologic center in Ufa in 2016 were examined. 35 (67.3%) patients had non-proliferative, 3 (5.7%) - pre-proliferative and 14 (27%) - proliferative stage of DR.Often patients with diabetic retinopathy had cataract (79%), mainly (80%) in the nonproliferative stage. In 21% of cases, severe complications of the posterior segment of the eye (such as diabetic maculopathy, haemophthalmus, traction retinal detachment) and secondary neovascular glaucoma (NVG) in the proliferative stage of the DR were detected.Surgical treatment including phacoemulsification with IOL implantation (38), vitrectomy with retinal detachment and haemophthalmus (4), and sinus trabeculectomy with NVG (1) was conducted in 82.7% of cases. The remaining 17.3% of patients received conservative treatment.Therapeutic efficacy was achieved in 100% of cases in the nonproliferative stage, and in 78.5% of cases in the proliferative stage.Visual acuity increased after operative and conservative treatment, the average was 0.42±0.3 and 0.41±0.3, the initial visual acuity was 0,33±0,2 and 0,28±0,3 respectively.Hypotensive effect was achieved in 96% of cases, average IOP was 16.5±4.3 with a maximum value of 38 mm Hg at the initial -18.4±5.4 with a maximum value of 41 mm Hg.