Saratov JOURNAL of Medical and Scientific Research

"Eye Microsurgery" n.a. academician S. N. Fedorov, Volgograd branch

Medical and social aspects of diabetes and diabetic retinopathy.

Year: 2017, volume 13 Issue: №3 Pages: 453-457
Heading: Health Service Organization Article type: Original article
Authors: Velichko Р.В., Osmanov Е.М., Manyakov R.R.
Organization: "Eye Microsurgery" n.a. academician S. N. Fedorov, Volgograd branch, Tambov State University n. a. G.R. Derzhavin
Summary:

The aim of the article: to study the medical and social aspects of diabetes mellitus and diabetic retinopathy at the regional level. Material and Methods. The prevalence, structure and dynamics of diabetes and diabetic retinopathy (DR) were analyzed among the population of the Tambov region for a seven-year period from 2010 to 2016 based on statistical compendiums on the main indicators of health facilities and the health of the population of the Tambov region (2010-2016) Russian statistical yearbooks (2010-2016), data from the regional State register of patients with diabetes. Results. In 2016 in the Tambov region, the prevalence of DR in type 1 diabetes is 53.2%, with type 2 diabetes 31.2%, significantly higher than all-Russian indicators, which were registered at 27.2% in patients with type 1 diabetes and 13.0% of patients with type 2 diabetes. Conclusion. The results of the comparative analysis of the level and structure of diabetes and DR indicate a negative trend among the population of the Tambov region, which dictates the need to develop effective and inexpensive methods for preventing the development and progression of DRs and making management decisions based on them.

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Experience of modified procedure treatment of progressive keratoconus based on corneal collagen cross-linking with femtosecond formation of intrastromal pocket

Year: 2017, volume 13 Issue: №2 Pages: 431-434
Heading: Ophtalmology Article type: Original article
Authors: Solodkova E.G., Fokin V.P.
Organization: "Eye Microsurgery" n.a. academician S. N. Fedorov, Volgograd branch
Summary:

Aim: analysis of clinical and functional results, histomorphological changes of corneas in the application of the method of corneal collagen crosslinking with the formation of a femtosecond intrastromal pocket. Material and Methods. We studied 20 patients (20 eyes) that were operated for progressive keratoconus (1-2 stage) with a peripheral zone of maximum ectasia arrangement via corneal collagen cross-linking with femtosecond formation of intrastromal pocket for introduction of a photosensitizerand local ultraviolet radiation. Results. The result was a decrease of surgery duration and reduction of the severity of pain in the early postoperative period. Conclusion. This method allows to increase the safety of the treatment of keratoconus, reducing the risk of postoperative complications.

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