Open AccessLong-term outcomes of ophthalmosurgery in diabetic patients
Author(s) -
Dmitriy Valentinovich Lipatov,
Липатов Дмитрий Валентинович,
Elena Grigor'evna Bessmertnaya,
Бессмертная Елена Григорьевна,
А. Г. Кузьмин,
Кузьмин Анатолий Геннадьевич,
Н. Б. Смирнова,
Смирнова Наталья Борисовна,
А. А. Толкачева,
Толкачева Анна Анатольевна,
Timofey Alexandrovich Chistyakov,
Чистяков Тимофей Александрович
Publication year - 2011
Publication title -
saharnyj diabet
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.155
H-Index - 12
eISSN - 2072-0378
pISSN - 2072-0351
DOI - 10.14341/2072-0351-6252
Subject(s) - medicine , diabetic retinopathy , diabetes mellitus , neovascular glaucoma , ophthalmology , glaucoma , complication , laser coagulation , visual acuity , surgery , optometry , endocrinology
Diabetes morbidity grows steadily despite recent progress in its diagnostics and treatment. Its most frequent complication is retinopathy although thereare increasingly more cases of diabetic cataract, secondary rubeous (neovascular) glaucoma, eyelid diseases, and transient impairment of vision.Aim To analyse late results of ophthalmosurgery in diabetic patients with vision problems.Materials and methods Over 24,000 patients were examined from January 2006 to November 2010 at the Department of Diabetic Retinopathyand Ophthalmosurgery, Endocrinological Research Centre. Results of more than 2660 seances of retinal laser coagulation and about 350 surgicalinterventions for diabetic cataract and secondary neovascular glaucoma were available for analysis.Conclusion Timely and correct application of retinal laser coagulation, modern facoemulsification of complicated cataract and drainage surgeryof uncompensated secondary rubeous glaucoma produces good functional results and permits to preserve or even improve visual acuity. The efficacyof surgical intervention is directly related to the quality of diabetes compensation and depends on the joint efforts of ophthalmologists, endocrinologists,and anesthesiologists.