SlideShare a Scribd company logo
LIPATOV DMITRY MD, PhD
KUZMIN A., CHISTAKOV T., BAUTINA Y.,
SOLOVJEVA J.
Drainage surgery
newvascular glaucomas at
patients with a diabetes
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
National Researsh Center of Endocrinology
Moscow, Russia
dep. «Diabetic rethinopathy and ophthalmosurgery»
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
The topicality:
- number of patients of with a
diabetes mellitusdiabetes mellitus in the world
in 2012 is over 366.000.000;
- 20-25% of them make eye
complication diseases -
diabetic rethinopatia,
cataract, cataract with
subluxation of lens,
newvascular glaucoma, etc.
The purpose: An
estimation of efficiency of
drainage surgery secondary
pain not compensated
newvascular glaucoma (NG)
at patients with diabetes
mellitus (DM).
The methods:
75 operations (35 men + 40 women) executed are
analysed during 5 years concerning NG at patients
with DM.
Middle age of patients has made 60,5±5,2 years.
At all patients has subcompensated DM I and II
average types which average duration made 14,2±3,3
years.
An average level glycated hemoglobin before
operation - 8,3±1.5 mmol/l.
It has been implanted Ahmed's 63 valves (model
FP-8) and 12 drainages Моlteno (model Molteno
3-175).
Operations have been executed
by one surgeon by a uniform
technique.
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
The results:
at all patients in the postoperative period the painful syndrome has been stoped
and in 95 % of cases proof reduction in intraocular (IOP) pressure is received.
Average value of intraocular pressure before operation - 42.5±2.7 mm rt.р.,
after intervention - 15.2±1.9 mm рt.p.
0,00
5,00
10,00
15,00
20,00
25,00
30,00
35,00
40,00
45,00
before 7 day half year one year tw o year
mild lever of IOP
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
The results:
In the early postoperative period we have met the following
complications:
gifema (33.3 %),
cataract (9.3 %),
reduction of depth of the forward
chamber of an eye (3.3 %)
and detachment a vascular environment (2.7 %).
In the late postoperative period
were observed "capture" iris (6.7 %),
"exposure" of a drainage tube (1.3 %),
a vascular cataract (5.3 %)
and epitheium-endothelium dystrophy
of a cornea (2.7 %).
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
The conclusion:
the drainage surgery newvascular glaucoma should become «the gold
standard» treatments of this pathology at patients with a diabetes
millitus.
Efficiency of surgical intervention is directly proportional to a degree of
indemnification of a diabetes, and intervention should be carried out by
joint efforts of ophthalmologist, endocrynologist and anesthesiologist.
International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
The conclusion:
the drainage surgery newvascular glaucoma should become «the gold
standard» treatments of this pathology at patients with a diabetes
millitus.
Efficiency of surgical intervention is directly proportional to a degree of
indemnification of a diabetes, and intervention should be carried out by
joint efforts of ophthalmologist, endocrynologist and anesthesiologist.

More Related Content

Similar to 1230

Long term results of stainless steel wire micro drainage device (sswmdd) in s...
Long term results of stainless steel wire micro drainage device (sswmdd) in s...Long term results of stainless steel wire micro drainage device (sswmdd) in s...
Long term results of stainless steel wire micro drainage device (sswmdd) in s...
edmond Isufaj
 
Hypotony Maculopathy
Hypotony MaculopathyHypotony Maculopathy
Hypotony Maculopathy
Hossein Mirzaie
 
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
International Multispeciality Journal of Health
 
IRJET - Classification of Retinopathy using Machine Learning
IRJET - Classification of Retinopathy using Machine LearningIRJET - Classification of Retinopathy using Machine Learning
IRJET - Classification of Retinopathy using Machine Learning
IRJET Journal
 
Diabetic Retinopathy Detection System from Retinal Images
Diabetic Retinopathy Detection System from Retinal ImagesDiabetic Retinopathy Detection System from Retinal Images
Diabetic Retinopathy Detection System from Retinal Images
ijtsrd
 
High Frequency Deep Sclerotomy (HFDS)
High Frequency Deep Sclerotomy (HFDS)High Frequency Deep Sclerotomy (HFDS)
High Frequency Deep Sclerotomy (HFDS)
Laxmi Eye Institute
 
1 s2.0-s0886335012010061-main
1 s2.0-s0886335012010061-main1 s2.0-s0886335012010061-main
1 s2.0-s0886335012010061-main
Amr Elmarasy
 
Scientific session
Scientific sessionScientific session
Scientific session
Vinitkumar MJ
 
IRJET- Detection of Diabetic Retinopathy using Convolutional Neural Network
IRJET- 	  Detection of Diabetic Retinopathy using Convolutional Neural NetworkIRJET- 	  Detection of Diabetic Retinopathy using Convolutional Neural Network
IRJET- Detection of Diabetic Retinopathy using Convolutional Neural Network
IRJET Journal
 
Macular hole sugery
Macular hole sugery Macular hole sugery
Macular hole sugery
HsounaZGOLLI
 
Angle Recession Glaucoma
Angle Recession GlaucomaAngle Recession Glaucoma
Angle Recession Glaucoma
Fahmida Hoque
 
InnFocus
InnFocus InnFocus
InnFocus
Healthegy
 
Multimodal evaluation of macular function in age related macular
Multimodal evaluation of macular function in age related macularMultimodal evaluation of macular function in age related macular
Multimodal evaluation of macular function in age related macular
Abdallah Ellabban
 
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and VideosWhat's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
Dr David Richardson
 
One stage verses two stage surgeries for cat and glaucoma
One stage verses two stage surgeries for cat and glaucomaOne stage verses two stage surgeries for cat and glaucoma
One stage verses two stage surgeries for cat and glaucoma
edmond Isufaj
 
Postoperative Vision Loss - Kathy Alwon
Postoperative Vision Loss - Kathy AlwonPostoperative Vision Loss - Kathy Alwon
Postoperative Vision Loss - Kathy Alwon
NC Association of Nurse Anesthetists
 
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A SurveyGlaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
Eswar Publications
 
Hyprereflective foci in Diabetic Macular edema
Hyprereflective foci in Diabetic Macular edema Hyprereflective foci in Diabetic Macular edema
Hyprereflective foci in Diabetic Macular edema
Abdallah Ellabban
 
Glaucoma
GlaucomaGlaucoma
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
CrimsonpublishersMSOR
 

Similar to 1230 (20)

Long term results of stainless steel wire micro drainage device (sswmdd) in s...
Long term results of stainless steel wire micro drainage device (sswmdd) in s...Long term results of stainless steel wire micro drainage device (sswmdd) in s...
Long term results of stainless steel wire micro drainage device (sswmdd) in s...
 
Hypotony Maculopathy
Hypotony MaculopathyHypotony Maculopathy
Hypotony Maculopathy
 
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Dia...
 
IRJET - Classification of Retinopathy using Machine Learning
IRJET - Classification of Retinopathy using Machine LearningIRJET - Classification of Retinopathy using Machine Learning
IRJET - Classification of Retinopathy using Machine Learning
 
Diabetic Retinopathy Detection System from Retinal Images
Diabetic Retinopathy Detection System from Retinal ImagesDiabetic Retinopathy Detection System from Retinal Images
Diabetic Retinopathy Detection System from Retinal Images
 
High Frequency Deep Sclerotomy (HFDS)
High Frequency Deep Sclerotomy (HFDS)High Frequency Deep Sclerotomy (HFDS)
High Frequency Deep Sclerotomy (HFDS)
 
1 s2.0-s0886335012010061-main
1 s2.0-s0886335012010061-main1 s2.0-s0886335012010061-main
1 s2.0-s0886335012010061-main
 
Scientific session
Scientific sessionScientific session
Scientific session
 
IRJET- Detection of Diabetic Retinopathy using Convolutional Neural Network
IRJET- 	  Detection of Diabetic Retinopathy using Convolutional Neural NetworkIRJET- 	  Detection of Diabetic Retinopathy using Convolutional Neural Network
IRJET- Detection of Diabetic Retinopathy using Convolutional Neural Network
 
Macular hole sugery
Macular hole sugery Macular hole sugery
Macular hole sugery
 
Angle Recession Glaucoma
Angle Recession GlaucomaAngle Recession Glaucoma
Angle Recession Glaucoma
 
InnFocus
InnFocus InnFocus
InnFocus
 
Multimodal evaluation of macular function in age related macular
Multimodal evaluation of macular function in age related macularMultimodal evaluation of macular function in age related macular
Multimodal evaluation of macular function in age related macular
 
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and VideosWhat's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
What's New In Glaucoma Surgery [OD CE 2 credit hours] - PPT Slides and Videos
 
One stage verses two stage surgeries for cat and glaucoma
One stage verses two stage surgeries for cat and glaucomaOne stage verses two stage surgeries for cat and glaucoma
One stage verses two stage surgeries for cat and glaucoma
 
Postoperative Vision Loss - Kathy Alwon
Postoperative Vision Loss - Kathy AlwonPostoperative Vision Loss - Kathy Alwon
Postoperative Vision Loss - Kathy Alwon
 
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A SurveyGlaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
Glaucoma Detection in Retinal Images Using Image Processing Techniques: A Survey
 
Hyprereflective foci in Diabetic Macular edema
Hyprereflective foci in Diabetic Macular edema Hyprereflective foci in Diabetic Macular edema
Hyprereflective foci in Diabetic Macular edema
 
Glaucoma
GlaucomaGlaucoma
Glaucoma
 
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
A Chronic Post Cataract Surgery Endophthalmitis with Suspended Intraocular Le...
 

Recently uploaded

Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
MuhammadMuneer49
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
AyeshaZaid1
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
rightmanforbloodline
 
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
PVI, PeerView Institute for Medical Education
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
Torstein Dalen-Lorentsen
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
SIVAVINAYAKPK
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
rishi2789
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Kunj Vihari
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
ShraddhaTamshettiwar
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Kanhu Charan
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
HongBiThi1
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
Rahul Sen
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 
Skin Diseases That Happen During Summer.
 Skin Diseases That Happen During Summer. Skin Diseases That Happen During Summer.
Skin Diseases That Happen During Summer.
Gokuldas Hospital
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Health Advances
 
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
AyushGadhvi1
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
FFragrant
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
suvadeepdas911
 

Recently uploaded (20)

Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdfOphthalmic drugs latest. Xxxxxxzxxxxxx.pdf
Ophthalmic drugs latest. Xxxxxxzxxxxxx.pdf
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Histololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptxHistololgy of Female Reproductive System.pptx
Histololgy of Female Reproductive System.pptx
 
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdfTest bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
Test bank for karp s cell and molecular biology 9th edition by gerald karp.pdf
 
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
Alzheimer’s Disease Case Conference: Gearing Up for the Expanding Role of Neu...
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
 
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory projectNano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
 
Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.Tele Optometry (kunj'sppt) / Basics of tele optometry.
Tele Optometry (kunj'sppt) / Basics of tele optometry.
 
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIESLOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
LOW BIRTH WEIGHT. PRETERM BABIES OR SMALL FOR DATES BABIES
 
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan PatroJune 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
 
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấuK CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
K CỔ TỬ CUNG.pdf tự ghi chép, chữ hơi xấu
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfNAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdf
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 
Skin Diseases That Happen During Summer.
 Skin Diseases That Happen During Summer. Skin Diseases That Happen During Summer.
Skin Diseases That Happen During Summer.
 
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune DiseaseCell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
 
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...
 
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
 

1230

  • 1. LIPATOV DMITRY MD, PhD KUZMIN A., CHISTAKOV T., BAUTINA Y., SOLOVJEVA J. Drainage surgery newvascular glaucomas at patients with a diabetes International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong National Researsh Center of Endocrinology Moscow, Russia dep. «Diabetic rethinopathy and ophthalmosurgery»
  • 2. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong The topicality: - number of patients of with a diabetes mellitusdiabetes mellitus in the world in 2012 is over 366.000.000; - 20-25% of them make eye complication diseases - diabetic rethinopatia, cataract, cataract with subluxation of lens, newvascular glaucoma, etc. The purpose: An estimation of efficiency of drainage surgery secondary pain not compensated newvascular glaucoma (NG) at patients with diabetes mellitus (DM).
  • 3. The methods: 75 operations (35 men + 40 women) executed are analysed during 5 years concerning NG at patients with DM. Middle age of patients has made 60,5±5,2 years. At all patients has subcompensated DM I and II average types which average duration made 14,2±3,3 years. An average level glycated hemoglobin before operation - 8,3±1.5 mmol/l. It has been implanted Ahmed's 63 valves (model FP-8) and 12 drainages Моlteno (model Molteno 3-175). Operations have been executed by one surgeon by a uniform technique. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong
  • 4. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong The results: at all patients in the postoperative period the painful syndrome has been stoped and in 95 % of cases proof reduction in intraocular (IOP) pressure is received. Average value of intraocular pressure before operation - 42.5±2.7 mm rt.р., after intervention - 15.2±1.9 mm рt.p. 0,00 5,00 10,00 15,00 20,00 25,00 30,00 35,00 40,00 45,00 before 7 day half year one year tw o year mild lever of IOP
  • 5. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong The results: In the early postoperative period we have met the following complications: gifema (33.3 %), cataract (9.3 %), reduction of depth of the forward chamber of an eye (3.3 %) and detachment a vascular environment (2.7 %). In the late postoperative period were observed "capture" iris (6.7 %), "exposure" of a drainage tube (1.3 %), a vascular cataract (5.3 %) and epitheium-endothelium dystrophy of a cornea (2.7 %).
  • 6. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong The conclusion: the drainage surgery newvascular glaucoma should become «the gold standard» treatments of this pathology at patients with a diabetes millitus. Efficiency of surgical intervention is directly proportional to a degree of indemnification of a diabetes, and intervention should be carried out by joint efforts of ophthalmologist, endocrynologist and anesthesiologist.
  • 7. International Symposium of Ophthalmology 2012 – Hong KongInternational Symposium of Ophthalmology 2012 – Hong Kong The conclusion: the drainage surgery newvascular glaucoma should become «the gold standard» treatments of this pathology at patients with a diabetes millitus. Efficiency of surgical intervention is directly proportional to a degree of indemnification of a diabetes, and intervention should be carried out by joint efforts of ophthalmologist, endocrynologist and anesthesiologist.