http://doi.org/10.31288/oftalmolzh201014447

EFFECTIVENESS AND STRUCTURE OF TREATMENT OF DIABETIC RETINOPATHY WHEN APPLYING FOR A STATIONARY EYE CARE

MD, PhD Naumenko VA

This article describes a retrospective analysis and statistical study of 5451 case histories of patients with diabetes mellitus type I and II (10,902 eyes), held on patient care in the State Institution* The VP Filatov Institute of Eye Diseases and Tissue Therapy of the AMS of Ukraine* in the period from 2000 to 2007. Totally, 11,359 cases of medical, laser and surgical treatment of patients with diabetic retinopathy were analyzed.

Significant increase of visual acuity after treatment, an average of 0. 02 for conservative treatment, closed vitrectomy and laser coagulation were noted. Laser stimulation does not lead to a statistically significant increase of visual acuity.

In the structure of the DRP treatments each year an increasing number of vitrectomy with 113 in 2000 to 347 in 2007, reflecting an increase of severe forms of diabetic retinopathy.

In most cases, treatment is carried out in the third and fourth degrees of severity of proliferative DRP, which significantly reduces the effectiveness of treatment methods, and demonstrates absence of adequate health care system for patients with diabetes mellitus and a lack of early criteria for clinical examination and early indications for specialized treatments for patients with DRP.

 

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