THE EFFECT OF DIABETES ON THE EFFECTIVENESS OF EYE PROSTHETICS

Abstract

More than 450 000 patients on the territory of the Russian Federation are in need of ocular prosthetics [1,2]. Among them, there are patients with diabetes mellitus who have related features that affect the results of prosthetics. In connection with the above, the problem of eye prosthetics in patients with diabetes requires special attention and is relevant for study.Purpose. To study the effect of diabetes mellitus (DM) on the effectiveness of eye prosthetics. Material and methods. The patients were divided into two groups: Ⅰ group - patients with anophthalmos and without DM, Ⅱgroup - patients with anophthalmos complicated by DM. All patients were performed: conjunctival cavity biomicroscopy, pH determination of the conjunctival cavity discharge. In all patients, the terms were analyzed: postoperative wound healing, primary prosthetics (PP), planned replacement of the ocular prosthesis.Results. It was found that in prosthetic patients with diabetes, the pH of the conjunctival cavity is shifted to the alkaline side, the healing time of wounds after enucleation is extended and the exploitation periods of eye prostheses are shortened.Conclusion. A reasoned approach to compliance with the terms of primary prosthetics after enucleation of the eye and proper care of the conjunctival cavity and ocular prosthesis are important conditions for obtaining a good cosmetic effect from ocular pros-thetics in patients with diabetes mellitus, as a result, the size of the conjunctival cavity, the correct formation of the arches, and thetone of the eyelids are preserved.