Cataract surgery in diabetes mellitus
S.Yu. KOPAYEV¹, N.V. PYTSKAYA², V.G. KOPAYEVA¹, A.Yu. MENSHIKOV¹
¹The S. Fyodorov Eye Microsurgery Federal State Institution. 59а Beskudnikovsky blvr, Moscow, Russian Federation, 127486
²The A. Evdokimov Moscow State Medical Dental University, 20/1 Delegatskaya Str., Moscow, Russian Federation, 127473
Kopayev S.Yu. — D. Med. Sc., Head of the Department Cataract Surgery and Intraocular Aphakia Correction, tel. (499) 488-84-06, e-mail: kopayevsu@yandex.ru
Pytskaya N.V. — Cand. Med. Sc., Assistant Lecturer of the Ophthalmology Department, tel. (499) 488-84-44, e-mail: vgkopayeva@yandex.ru
Kopayeva V.G. — D. Med. Sc., Professor of Scientific-educational center, tel. (499) 488-84-44, e-mail: vgkopayeva@yandex.ru
Menshikov A.Yu. — ophtalmosurgion, tel. (499) 488-89-16, e-mail: almenshikov@yandex.ru
The literature review reflects the anatomical features of true and senile diabetic cataracts, the implementation tactics and the results of ultrasonic and laser extraction of the cataract with Nd-YAG laser 1.44 μm, risk factors for the diabetic retinopathy progression, prevention of postoperative non-infectious inflammatory complications. The high efficiency and safety of laser extraction of complicated cataracts in patients with diabetes mellitus is presented, which makes it possible to recommend this technology for early lens removal in the presence of opacities that obstruct the examination of the fundus and promptly laser treatment of diabetic retinopathy and maculopathy.
Key words: diabetic cataract, phacoemulsification. Laser extraction of cataract.
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