Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.

BACKGROUND: The «gold standart» for surgical treatment of patients with proliferative diabetic retinopathy (PDR is vitreoretinal surgery. However, the question of the timing of the removal of primary cataract in this category of patients remains open.AIM: To evaluate the efficacy of phacoemulsificat...

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Autores principales:	Karina Igorevna Konovalova, Mikhail Mikhailovich Shishkin, Rinat Rustamovich Fayzrakhmanov
Formato:	article
Lenguaje:	EN RU
Publicado:	Endocrinology Research Centre 2021
Materias:	proliferative diabetic retinopathy vitreoretinal surgery phacoemulsification Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/3e2d950763524a069aa54fa127d44c73
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spelling	oai:doaj.org-article:3e2d950763524a069aa54fa127d44c732021-11-14T09:00:23ZPhacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.2072-03512072-037810.14341/DM12256https://doaj.org/article/3e2d950763524a069aa54fa127d44c732021-01-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12256https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378BACKGROUND: The «gold standart» for surgical treatment of patients with proliferative diabetic retinopathy (PDR is vitreoretinal surgery. However, the question of the timing of the removal of primary cataract in this category of patients remains open.AIM: To evaluate the efficacy of phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patientsMETHODS: 67 cases of surgery treatment of patients with PDR and complicated primary cataract were enrolled. This patients were divided into two groups depending on the treatment tactics. In the 1st group patients were subjected to a two–step surgical procedure: vitreoretinal surgery with silicone oil tamponade performed as the 1st step in their treatment; followed by the 2d step, phacoemulsifi tion surgery and silicone oil removal, and the IOL implantation, respectively. In the 2d group phacoemulsifi tion performed simultaneously with vitreoretinal surgery: phacoemulsification, IOL implantation, vitreoretinal surgery with silicone oil tamponade. The second step differed in the removal of silicone oil from the vitreous cavity.RESULTS: Visual functions improved in 88.6% of cases in group 1, and in 68.7% in group 2.CONCLUSIONS: Outcomes of the preliminary studies suggest that it is more viable to perform phacoemulsification surgery sometime later along with silicone oil removal on PDR patients with complicated primary cataract. This sequence of treatment procedure ensures a more gentle approach to the anatomic structures of the eye during the first stage (vitreoretinal surgery) and contributes to the reduction in the number of intraoperative and postoperative complications.Karina Igorevna KonovalovaMikhail Mikhailovich ShishkinRinat Rustamovich FayzrakhmanovEndocrinology Research Centrearticleproliferative diabetic retinopathyvitreoretinal surgeryphacoemulsificationNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 23, Iss 5, Pp 452-458 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	proliferative diabetic retinopathy vitreoretinal surgery phacoemulsification Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	proliferative diabetic retinopathy vitreoretinal surgery phacoemulsification Nutritional diseases. Deficiency diseases RC620-627 Karina Igorevna Konovalova Mikhail Mikhailovich Shishkin Rinat Rustamovich Fayzrakhmanov Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
description	BACKGROUND: The «gold standart» for surgical treatment of patients with proliferative diabetic retinopathy (PDR is vitreoretinal surgery. However, the question of the timing of the removal of primary cataract in this category of patients remains open.AIM: To evaluate the efficacy of phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patientsMETHODS: 67 cases of surgery treatment of patients with PDR and complicated primary cataract were enrolled. This patients were divided into two groups depending on the treatment tactics. In the 1st group patients were subjected to a two–step surgical procedure: vitreoretinal surgery with silicone oil tamponade performed as the 1st step in their treatment; followed by the 2d step, phacoemulsifi tion surgery and silicone oil removal, and the IOL implantation, respectively. In the 2d group phacoemulsifi tion performed simultaneously with vitreoretinal surgery: phacoemulsification, IOL implantation, vitreoretinal surgery with silicone oil tamponade. The second step differed in the removal of silicone oil from the vitreous cavity.RESULTS: Visual functions improved in 88.6% of cases in group 1, and in 68.7% in group 2.CONCLUSIONS: Outcomes of the preliminary studies suggest that it is more viable to perform phacoemulsification surgery sometime later along with silicone oil removal on PDR patients with complicated primary cataract. This sequence of treatment procedure ensures a more gentle approach to the anatomic structures of the eye during the first stage (vitreoretinal surgery) and contributes to the reduction in the number of intraoperative and postoperative complications.
format	article
author	Karina Igorevna Konovalova Mikhail Mikhailovich Shishkin Rinat Rustamovich Fayzrakhmanov
author_facet	Karina Igorevna Konovalova Mikhail Mikhailovich Shishkin Rinat Rustamovich Fayzrakhmanov
author_sort	Karina Igorevna Konovalova
title	Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
title_short	Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
title_full	Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
title_fullStr	Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
title_full_unstemmed	Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.
title_sort	phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of pdr patients.
publisher	Endocrinology Research Centre
publishDate	2021
url	https://doaj.org/article/3e2d950763524a069aa54fa127d44c73
work_keys_str_mv	AT karinaigorevnakonovalova phacoemulsificationofprimarycataractbythesecondstageaftervitreoretinalsurgeryofpdrpatients AT mikhailmikhailovichshishkin phacoemulsificationofprimarycataractbythesecondstageaftervitreoretinalsurgeryofpdrpatients AT rinatrustamovichfayzrakhmanov phacoemulsificationofprimarycataractbythesecondstageaftervitreoretinalsurgeryofpdrpatients
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Phacoemulsification of primary cataract by the second stage after vitreoretinal surgery of PDR patients.

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