A.D. CHUPROV, A.N. KAZENNOV, E.A. LOMUKHINA, I.A. KAZENNOVA, A.V. YURINA

Orenburg branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 17 Salmyshskaya Str., Orenburg, Russian Federation, 460047

 Chuprov A.D. — D. Med. Sc., Professor, Director, tel. (3532) 364459, e-mail: [email protected]ru

Kazennov A.N. — Cand. Med. Sc., Head of the Surgery Unit, tel. (3532)65-06-82, e-mail: [email protected]

Lomukhina E.A. — Cand. Med. Sc., ophthalmologist, tel. (3532) 36-34-13, e-mail: [email protected]

Kazennova I.A. — ophthalmologist, tel. (3532) 65-06-82, e-mail: [email protected]

Yurina A.V. — 2^nd year resident doctor, tel. (3532) 65-06-82, e-mail: [email protected]

 One of the severe complications of diabetes mellitus (DM) is the development of diabetic retinopathy (DR). The development of proliferative diabetic retinopathy (PDR) is often combined with lens opacities, which requires combined surgical intervention. The aim of the work was to evaluate the effectiveness of combined surgical intervention. 15 patients (18 eyes) with PDR complicated by cataract underwent the surgery. The opacities of the lens were graded by acoustic nuclear density using Schempflug-camera «Pentacam», and the severity of diabetes — using stereoscopic images obtained with fundus camera. According to the results of surgery, a satisfactory anatomical and functional result was obtained.

Key words: proliferative diabetic retinopathy, complicated cataract, vitrectomy, acoustic nuclear density.

REFERENCES

1. Khasanova Zh.Z., Samoylov A.N. Diabetic retinopathy in patients with type 1 diabetes mellitus. Vestnik oftal’mologii, 2014, no. 2, pp. 83–87 (in Russ.).
2. Khodzhaev N.S., Kuntysheva K.E. Diabetic retinopathy and hypertension: clinical and pathophysiological aspects of comorbidity and rational medication correction. Byulleten’ SO RAMN, 2014,vol. 34, no. 3, pp. 72–75 (in Russ.).
3. Astakhov Yu.S., Lisochkina A.B., Shadrichev F.E. Modern directions of drug treatment of nonproliferative diabetic retinopathy. Klinicheskaya oftal’mologiya, 2003, vol. 4, no. 3, pp. 96–101 (in Russ.).
4. Bal’zhnimaev E.B., Zhigaev G.F. Diabetic retinopathy in type 1 diabetes mellitus. Byulleten’ VSNTs SO RAMN, 2012, vol. 88, no. 6, pp. 9–12 (in Russ.).
5. Smirnova O.M. Diabetic retinopathy. Results of international multicenter research. Sakharnyy diabet, 2010, no. 1, pp. 82–87 (in Russ.).
6. Shadrichev F.E. Diabetic retinopathy (view of ophthalmologist). Oftal’mologiya, 2008, pp. 8–11 (in Russ.).
7. Atkingon M.A., Wilson S.B. Fatal attraction: chemokines and type 1 diabetes. J. Clin. Invest, 2002, vol. 110, no. 11, pp. 1611–1613.
8. Bal’zhnimaev E.B., Zhigaev G.F., Ryabov M.P., Skorik O.S. Diabetic retinopathy (review of literature). Byulleten’ VSNTs SO RAMN, 2012, vol. 88, no. 6, pp. 130–134 (in Russ.).
9. Kohner B.M., Hamilton A.M., Joplin G.F. et al. Florid Diabetic retinopathy and its response to treatment by photocoagulation . N. Eng. J. Med, 1985, vol. 4, pp. 128–131.
10. Takhchidi Kh.P., Shkvorchenko D.O., Levina L.V., Del’ver E.P., Belogurov A.A., Bibilashvili R.Sh. The use of the drug «gemaz» in vitreoretinal surgery of proliferative diabetic retinopathy. Oftal’mokhirurgiya, 2007, pp. 28–34 (in Russ.).
11. Early Treatment Diabetic Retinopathy Study Research Group. Early photocoagulation for diabetic retinopathy. ETDRS report No 9. Ophthalmology, 1991, vol. 98, pp. 766–785.
12. Egorova E.V., Pichikova N.A., Pichikova E.A. The first experience of the use of the sheympfluug image for determining the optical density of the lens during femto-phacoemulsification of cataracts. Vestnik TGU, 2015, vol. 20, no. 3, pp. 561–563 (in Russ.).
13. Pei X., Bao Y., Li X. Correlation of lens density measured using the PentacamScheimpflug system with the Lens Opacities Classification System III grading score and visual acuity in age-related nuclear cataract. Arq. Bras. Oftalmol, 2011, vol. 74, no. 2, pp. 110–113.
14. Suntsov Yu.I., Kudryakova S.V., Bolotskaya L.L. The importance of the state register of diabetic patients in the development of the diabetes service. Sakharnyy diabet, 2002, no. 1, pp. 28–31 (in Russ.).