EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY

The study included 48 vitreoretinal surgeries performed during 2014-2015 in 39 patients with advanced fibrovascular stage of proliferative diabetic retinopathy. Visual acuity before the surgery averaged from pr. l. certae to 0.01. In 7 cases patients underwent intravitreal injection of Lucentis 2-3...

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Autores principales:	O. M. Trubina, V. N. Kanyukov, A. N. Kazennov, I. A. Kazennova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2016
Materias:	diabetes mellitus proliferative diabetic retinopathy vitrectomy silicone oil lucentis Science Q
Acceso en línea:	https://doaj.org/article/cb919caf2ab345469a6ed616e8a08e8c
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spelling	oai:doaj.org-article:cb919caf2ab345469a6ed616e8a08e8c2021-11-23T06:14:36ZEXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY2541-94202587-959610.12737/23791https://doaj.org/article/cb919caf2ab345469a6ed616e8a08e8c2016-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/332https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The study included 48 vitreoretinal surgeries performed during 2014-2015 in 39 patients with advanced fibrovascular stage of proliferative diabetic retinopathy. Visual acuity before the surgery averaged from pr. l. certae to 0.01. In 7 cases patients underwent intravitreal injection of Lucentis 2-3 weeks before the surgery. The surgery was performed according to the standard 3-port 25 G vitrectomy. In some cases, short-term tamponade of vitreous cavity by fluid perfluororganic compounds (PFOS) was performed for 2-3 days. This was due to prolonged bleeding during the surgery. In these cases, fibrinolytic of direct action (hemasa) was injected directly to the blood clot. In 4 cases circular retinotomy was needed. In 35 cases tamponade was made by silicone oil 5700 cSt, in 13 - by air-gas mixture. In cases of air-gas tamponade 3 patients had a relapse. After vitreous cavity revision it was plugged with silicone oil 5700 cSt. In 17 cases visual function remained unchanged, in 18 cases the changes were imperceptible, in 9 cases visual acuity improved to 0.2, in 3 cases -visual function increased to 0.4 and in 1 patient - to 0.7. In postoperative period IOP increased in 7 cases. In 5 of these cases compensation was achieved with antihypertensive drugs. 1n one case the patient was implanted leukosapphire drainage, and in one more case transscleral cyclophotocoagulation about terminal aching glaucoma was performed. The silicone oil was removed in 6 patients at the period of 6 months up to 2 years.O. M. TrubinaV. N. KanyukovA. N. KazennovI. A. KazennovaScientific Сentre for Family Health and Human Reproduction Problemsarticlediabetes mellitusproliferative diabetic retinopathyvitrectomysilicone oillucentisScienceQRUActa Biomedica Scientifica, Vol 1, Iss 6, Pp 118-121 (2016)
institution	DOAJ
collection	DOAJ
language	RU
topic	diabetes mellitus proliferative diabetic retinopathy vitrectomy silicone oil lucentis Science Q
spellingShingle	diabetes mellitus proliferative diabetic retinopathy vitrectomy silicone oil lucentis Science Q O. M. Trubina V. N. Kanyukov A. N. Kazennov I. A. Kazennova EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
description	The study included 48 vitreoretinal surgeries performed during 2014-2015 in 39 patients with advanced fibrovascular stage of proliferative diabetic retinopathy. Visual acuity before the surgery averaged from pr. l. certae to 0.01. In 7 cases patients underwent intravitreal injection of Lucentis 2-3 weeks before the surgery. The surgery was performed according to the standard 3-port 25 G vitrectomy. In some cases, short-term tamponade of vitreous cavity by fluid perfluororganic compounds (PFOS) was performed for 2-3 days. This was due to prolonged bleeding during the surgery. In these cases, fibrinolytic of direct action (hemasa) was injected directly to the blood clot. In 4 cases circular retinotomy was needed. In 35 cases tamponade was made by silicone oil 5700 cSt, in 13 - by air-gas mixture. In cases of air-gas tamponade 3 patients had a relapse. After vitreous cavity revision it was plugged with silicone oil 5700 cSt. In 17 cases visual function remained unchanged, in 18 cases the changes were imperceptible, in 9 cases visual acuity improved to 0.2, in 3 cases -visual function increased to 0.4 and in 1 patient - to 0.7. In postoperative period IOP increased in 7 cases. In 5 of these cases compensation was achieved with antihypertensive drugs. 1n one case the patient was implanted leukosapphire drainage, and in one more case transscleral cyclophotocoagulation about terminal aching glaucoma was performed. The silicone oil was removed in 6 patients at the period of 6 months up to 2 years.
format	article
author	O. M. Trubina V. N. Kanyukov A. N. Kazennov I. A. Kazennova
author_facet	O. M. Trubina V. N. Kanyukov A. N. Kazennov I. A. Kazennova
author_sort	O. M. Trubina
title	EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
title_short	EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
title_full	EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
title_fullStr	EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
title_full_unstemmed	EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY
title_sort	experience of surgical treatment of proliferative diabetic retinopathy
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2016
url	https://doaj.org/article/cb919caf2ab345469a6ed616e8a08e8c
work_keys_str_mv	AT omtrubina experienceofsurgicaltreatmentofproliferativediabeticretinopathy AT vnkanyukov experienceofsurgicaltreatmentofproliferativediabeticretinopathy AT ankazennov experienceofsurgicaltreatmentofproliferativediabeticretinopathy AT iakazennova experienceofsurgicaltreatmentofproliferativediabeticretinopathy
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EXPERIENCE OF SURGICAL TREATMENT OF PROLIFERATIVE DIABETIC RETINOPATHY

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