Oftalʹmologiâ (Jul 2014)

Features of ophthalmoneuroprotection in patients with open-angle glaucoma in combination with diabetic retinopathy

  • O. I. Borzunov,

DOI
https://doi.org/10.18008/1816-5095-2014-1-66-72
Journal volume & issue
Vol. 11, no. 1
pp. 66 – 72

Abstract

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Aim: of this study is to evaluate ophthalmoneuroprotectional treatment of patients with POAG and diabetes mellitus type II in a specialized hospital.Material and methods: We have performed retro — and prospective analysis of the combined treatment of 130 patients (248 eyes) with a combination of primary open-angle glaucoma and diabetic retinopathy. Evaluation of the effectiveness of treatment was conducted on the following criteria: the severity of the hypotensive effect, the degreeof improvement and duration of remission of major ophthalmic indicators. The patients were divided into four clinical — homogeneous groups: primary — 40 people (77 eyes), the comparison group I — 37 persons (71 eyes), the comparison group II — 33 people (60 eyes), the control group — 20 people (40 eyes).Results: Combination of different treatment strategy of laser and conservative treatment was tested. The result has been designed for optimal balance improving performance and reducing ocular side effects. Retinalamin ® 5 mg parabulbare number 10, Tanakan 1 tablet 3 times a day — 3 months. The optimal timing of re-treatment (at least 1time in 9 months), in the case of significant progression of glaucomatous optic neuropathy — the timing is solved individually.

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